Organization Active NPI

Primary Urgent Medical PC

Doing business as Primary Care of Long Island

  • Internal Medicine Physician
  • Lindenhurst, NY
National Provider Identifier
1700908605
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY URGENT MEDICAL PC
Doing business as
Primary Care of Long Island
Practice address
791 N Wellwood Ave
Lindenhurst, NY 11757-1210
Phone
(631) 957-2200
Fax
(631) 957-4619
NPI assigned
Apr 4, 2007
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Akbar KhanNPI 1831155639
Title
Executive Medical Director
Phone
(631) 957-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X
Emergency Care Clinic/Center 261QE0002X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

791 N Wellwood Ave
Lindenhurst, NY 11757-1210

Mailing address

791 N Wellwood Ave
Lindenhurst, NY 11757-1210
Phone (631) 957-2200

Other practice location 1

652 Suffolk Ave Ste 102
Brentwood, NY 11717-4305
Phone (631) 229-9700

Other names 2

  • Primary Care of Long Island Doing business as
  • Priti Patel Physician PC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address PrimaryCareOfLongIsland.AkbarKhan@157630.advancedmd-direct.com Health Information Exchange (HIE)
Direct Messaging Address PrimaryCareOfLongIsland.AkbarKhan@157630.advancedmd-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000709 NY Part B Supplier - Clinic/Group Practice 2163527888 Receives reassigned benefits from 1 practitioner
Practice locations: Lindenhurst, NY; Brentwood, NY

National Provider Directory

National Provider Directory

Locations

672 Wellwood Ave
Unit 4
Lindenhurst, NY 11757
Phone (631) 957-2200

Interoperability endpoints

  • Direct secure messaging: primarycareoflongisland.akbarkhan@157630.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1700908605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571210",
            "telephone_number": "631-957-2200",
            "fax_number": "631-957-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571210",
            "telephone_number": "631-957-2200",
            "fax_number": "631-957-4619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 Suffolk Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117174305",
            "country_code": "US",
            "telephone_number": "631-229-9700",
            "fax_number": "631-957-4619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY URGENT MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AKBAR",
        "authorized_official_title_or_position": "EXECUTIVE MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-957-2200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PrimaryCareOfLongIsland.AkbarKhan@157630.advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "791 N Wellwood Ave",
            "city": "Lindenhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117571210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PrimaryCareOfLongIsland.AkbarKhan@157630.advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "652 Suffolk Ave Ste 102",
            "city": "Brentwood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117174305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Primary Care of Long Island",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care of Long Island",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Priti Patel Physician PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.