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Kings Park Primary Medical Care PC

NPI 1073747689ActiveOrganization· Internal Medicine· Kings Park, NY

Internal Medicine in Kings Park, New York, registered in NPPES in May 2009. The authorized official on file is Debra Pincus, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1073747689
StatusActive
Entity typeOrganization
NPI issuedMay 11, 2009
Last updated in NPPESMay 11, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X183029NY
Pediatrics208000000X183029NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

Other internal medicine physicians in Kings Park

All internal medicine physicians in New York