Organization Active NPI

Primary Partnercare Physicians PLLC

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1891318168
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY PARTNERCARE PHYSICIANS PLLC
Practice address
2800 Marcus Ave Ste 203B
New Hyde Park, NY 11042-1008
Phone
(516) 354-7900
NPI assigned
May 21, 2020
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Dr. Harry Jacob, MDNPI 1346388162
Title
President
Phone
(516) 354-7900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2800 Marcus Ave Ste 203B
New Hyde Park, NY 11042-1008

Mailing address

1010 Northern Blvd Ste 328
Great Neck, NY 11021-5329
Phone (516) 354-7900

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athenahealth Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200723003709 NY Part B Supplier - Clinic/Group Practice 9638593585 Receives reassigned benefits from 19 practitioners
Practice locations: Brentwood, NY; W Hempstead, NY; Smithtown, NY; Queens Village, NY; New Hyde Park, NY; Massapequa Park, NY; Great Neck, NY; East Islip, NY…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0926963Primary Partnercare Physicians PLLC2800 Marcus Ave Suite 203, Lake Success, NY 11042Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Locations

197 Broadway
Amityville, NY 11701
Phone (631) 691-1500

400 W Main St
Babylon, NY 11702
Phone (631) 669-5021

600 Suffolk Ave
Ste B
Brentwood, NY 11717
Phone (631) 435-2133

2005 Deer Park Ave
Deer Park, NY 11729
Phone (631) 243-6690

170 W Main St
East Islip, NY 11730
Phone (631) 509-7171

8 Laurel Ave
East Islip, NY 11730
Phone (631) 224-4442

1010 Northern Blvd
Ste 328
Great Neck, NY 11021
Phone (516) 233-2484

400 S Oyster Bay Rd
Ste 300
Hicksville, NY 11801
Phone (215) 776-0389

76 E Main St
Ste 1
Huntington, NY 11743
Phone (516) 431-2277

76 E Main St
Ste 2
Huntington, NY 11743
Phone (631) 528-8222

2800 Marcus Ave
Ste 203B
New Hyde Park, NY 11042
Phone (516) 354-7900

3051 Long Beach Rd
Ste 6
Oceanside, NY 11572
Phone (516) 763-7420

21530 Hillside Ave
Queens Vlg, NY 11427
Phone (718) 554-7778

215 E Main St
Smithtown, NY 11787
Phone (516) 265-5858

225 Nassau Blvd
West Hempstead, NY 11552
Phone (516) 539-1800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24863/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1891318168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 328",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-354-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE STE 203B",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421008",
            "telephone_number": "516-354-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PARTNERCARE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-354-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athenahealth",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2800 Marcus Ave Ste 203B",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.