NORTH COUNTRY PRIMARY MEDICAL CARE, P.C.
NPI 1689851115
Internal Medicine in Miller Place, NY

Active since January 28, 2008CLIA 33D0158783 · Waiver
43 RADIO AVE, MILLER PLACE, NY 11764(631) 821-8911(631) 821-8912 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About North Country Primary Medical Care, P.c. NPPES

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

NORTH COUNTRY PRIMARY MEDICAL CARE, P.C. (NPI 1689851115) is a healthcare organization registered as an internal medicine in Miller Place, New York and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jagpreet Dhillon, President, as its authorized official.

NPPES Registry Identity

NPI1689851115
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTH COUNTRY PRIMARY MEDICAL CARE, P.C.
Location Address43 RADIO AVEMiller Place, NY 11764-3125
Mailing Address43 Radio AveMiller Place, NY 11764-3125 · (631) 821-8911 · Fax (631) 821-8912
Fax(631) 821-8912
Organization SubpartNo
Authorized OfficialJagpreet DhillonPresident · (631) 821-8911
Enumeration DateJanuary 28, 2008
NPI 1689851115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 210655
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
43 RADIO AVE, Miller Place, NY 11764

Other Identifiers 2

Other210655NY · Nys License
Medicare UPING75741NY

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 33D0158783

North Country Primary Medical Care · East Setauket, NY
Active · expires Mar 26, 2027
CLIA Number33D0158783
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Pollytia Panagiotou
Laboratory Phone(631) 821-8911
Laboratory LocationNorth Country Primary Medical Care140 Belle Meade Rd - Suite K, East Setauket, NY 11733
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
43 RADIO AVE
MILLER PLACE, NY 11764
Internal Medicine
43 RADIO AVE
MILLER PLACE, NY 11764
Acupuncturist
43 RADIO AVE
MILLER PLACE, NY 11764

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 North Country Primary Medical Care, P.C.'s NPI number?

The NPI number for North Country Primary Medical Care, P.C. is 1689851115. It was assigned to this organization in the NPPES registry on January 28, 2008.

Where is North Country Primary Medical Care, P.C. located?

North Country Primary Medical Care, P.C. is located at 43 Radio Ave, Miller Place, NY 11764. The listed phone number is (631) 821-8911.

What is North Country Primary Medical Care, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does North Country Primary Medical Care, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0158783) is associated with this NPI, valid through March 26, 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 North Country Primary Medical Care, P.C. was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.