Professional Primary Care Physician PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROFESSIONAL PRIMARY CARE PHYSICIAN PLLC

Practice address

388 Hillside Ave
New Hyde Park, NY 11040-2524

Phone

(516) 519-8831

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Fozia Jangda

Title

MD/ Owner

Phone

(718) 749-2468

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mamoon Hussein

  • Physical Therapist
  • Floral Park, NY
  • NPI 1114381811
  NPD (past)
• Gagandeep Kaur, NP

  • Adult Health Nurse Practitioner
  • Concord, CA
  • NPI 1639734700
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1942922471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MCINTOSH CT",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651039",
            "telephone_number": "718-749-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402524",
            "telephone_number": "516-519-8831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11007 Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "South Richmond Hill",
            "state": "NY",
            "postal_code": "114191705",
            "country_code": "US",
            "telephone_number": "718-374-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL PRIMARY CARE PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "JANGDA",
        "authorized_official_first_name": "FOZIA",
        "authorized_official_title_or_position": "MD/ OWNER",
        "authorized_official_telephone_number": "718-749-2468"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Progressive Physical Therapy Services, PC
• Progressive Surgical Care, PLLC
• Prohealth Accountable Care Medical Group PLLC
• Prohealth Ambulatory Surgery Center, LLC
• Prohealth Dental PLLC

• Internal Medicine Physician in New Hyde Park, NY
• Providers in New Hyde Park, 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 Oct 13, 2023; 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.