North Country Primary Medical Care, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

210655 Issued in NY

Legal business name

NORTH COUNTRY PRIMARY MEDICAL CARE, P.C.

Practice address

43 Radio Ave
Miller Place, NY 11764-3125

Phone

(631) 821-8911

Fax

(631) 821-8912

NPI assigned

Jan 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jagpreet Dhillon, M.D.

Title

President

Phone

(631) 821-8911

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1689851115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RADIO AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643125",
            "telephone_number": "631-821-8911",
            "fax_number": "631-821-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 RADIO AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643125",
            "telephone_number": "631-821-8911",
            "fax_number": "631-821-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY PRIMARY MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "JAGPREET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-821-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "210655",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.