SACRED HEART PRIMARY CARE MEDICINE, PLLC
NPI 1235916255
Family Medicine in Plainview, NY

Active since September 12, 2023CLIA 33D2293036 · Waiver
700 OLD COUNTRY RD STE 105, PLAINVIEW, NY 11803(347) 510-5866 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Mar 7, 2024, Dec 7, 2023 and 1 more (4 updates tracked since 2023).

About Sacred Heart Primary Care Medicine, Pllc NPPES

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

SACRED HEART PRIMARY CARE MEDICINE, PLLC (NPI 1235916255) is a healthcare organization registered as a family medicine in Plainview, New York and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Dimitri Ghecas, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1235916255
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSACRED HEART PRIMARY CARE MEDICINE, PLLC
Location Address700 OLD COUNTRY RD STE 105Plainview, NY 11803-4932
Mailing Address700 Old Country Rd Ste 105Plainview, NY 11803-4932 · (516) 809-2500 · Fax (833) 450-0206
Organization SubpartNo
Authorized OfficialDimitri GhecasCo-owner · (516) 809-2500
Enumeration DateSeptember 12, 2023
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1235916255 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.
700 OLD COUNTRY RD STE 105, Plainview, NY 11803

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2293036

Sacred Heart Primary Care Medicine PLLC · Plainview, NY
Active · expires Nov 1, 2027
CLIA Number33D2293036
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorDimitri Ghecas
Laboratory Phone(203) 470-2743
Laboratory LocationSacred Heart Primary Care Medicine PLLC700 Old Country Road, Lower Level, Suite 105, Plainview, NY 11803
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
700 OLD COUNTRY RD STE 105
PLAINVIEW, NY 11803

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 Sacred Heart Primary Care Medicine, PLLC's NPI number?

The NPI number for Sacred Heart Primary Care Medicine, PLLC is 1235916255. It was assigned to this organization in the NPPES registry on September 12, 2023.

Where is Sacred Heart Primary Care Medicine, PLLC located?

Sacred Heart Primary Care Medicine, PLLC is located at 700 Old Country Rd Ste 105, Plainview, NY 11803. The listed phone number is (347) 510-5866.

What is Sacred Heart Primary Care Medicine, PLLC's specialty?

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

Does Sacred Heart Primary Care Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2293036) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Heart Primary Care Medicine, PLLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.