PRIME MEDICAL CARE, PC
NPI 1215202874
Family Medicine in South Richmond Hill, NY

Active since March 15, 2012
11808 101ST AVE, SOUTH RICHMOND HILL, NY 11419(718) 441-0410 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prime Medical Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIME MEDICAL CARE, PC (NPI 1215202874) is a healthcare organization registered as a family medicine in South Richmond Hill, New York and active in the NPI registry since March 2012. The organization lists Tahira Ghaffar, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1215202874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIME MEDICAL CARE, PC
Location Address11808 101ST AVESouth Richmond Hill, NY 11419-1230
Mailing Address36 Felton AveValley Stream, NY 11580-3902 · (631) 355-9052
Organization SubpartNo
Authorized OfficialTahira GhaffarMedical Director · (718) 441-0410
Enumeration DateMarch 15, 2012
✔ NPI 1215202874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11808 101ST AVE, South Richmond Hill, NY 11419

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prime Medical Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Medical Care, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1912179458
118-08 101 AVE
Richmond Hill, NY 11419
(718) 441-0410
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Medical Care, PC's NPI number?

The NPI number for Prime Medical Care, PC is 1215202874. It was assigned to this organization in the NPPES registry on March 15, 2012.

Where is Prime Medical Care, PC located?

Prime Medical Care, PC is located at 11808 101st Ave, South Richmond Hill, NY 11419. The listed phone number is (718) 441-0410.

What is Prime Medical Care, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prime Medical Care, PC enrolled in Medicare?

Yes. Prime Medical Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Medical Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Prime Medical Care, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prime Medical Care, PC was last updated on March 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.