KAM PRIMARY CARE, P.C.
NPI 1730573205
Clinic/Center - Primary Care in Little Neck, NY

Active since March 23, 2015CLIA 33D2094508 · Waiver
24812 NORTHERN BLVD, 2A, LITTLE NECK, NY 11362(347) 328-3764 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kam Primary Care, P.c. NPPES

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

KAM PRIMARY CARE, P.C. (NPI 1730573205) is a healthcare organization registered as a primary care in Little Neck, New York and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Yi Sheng Kam, President, as its authorized official.

NPPES Registry Identity

NPI1730573205
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKAM PRIMARY CARE, P.C.
Location Address24812 NORTHERN BLVD, 2ALittle Neck, NY 11362-1206
Mailing Address24812 Northern Blvd, 2aLittle Neck, NY 11362-1206
Organization SubpartNo
Authorized OfficialYi Sheng KamPresident · (347) 328-3764
Enumeration DateMarch 23, 2015
✔ NPI 1730573205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 262586
24812 NORTHERN BLVD, Little Neck, NY 11362

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kam Primary Care, P.c. 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 Kam Primary Care, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1093963134
24812 NORTHERN BLVD 2A
Little Neck, NY 11362
(718) 281-3028
✔ 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.

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 33D2094508

Kam Primary Care, PC · Little Neck, NY
Active · expires Apr 19, 2027
CLIA Number33D2094508
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDr. Yi Sheng Kam
Laboratory Phone(718) 281-3028
Laboratory LocationKam Primary Care, PC248-12 Northern Boulevard, #2a, Little Neck, NY 11362
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kam Primary Care, P.C.'s NPI number?

The NPI number for Kam Primary Care, P.C. is 1730573205. It was assigned to this organization in the NPPES registry on March 23, 2015.

Where is Kam Primary Care, P.C. located?

Kam Primary Care, P.C. is located at 24812 Northern Blvd 2A, Little Neck, NY 11362. The listed phone number is (347) 328-3764.

What is Kam Primary Care, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Kam Primary Care, P.C. enrolled in Medicare?

Yes. Kam Primary Care, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kam Primary Care, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kam Primary Care, P.C.. 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.

Does Kam Primary Care, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2094508) is associated with this NPI, valid through April 19, 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 Kam Primary Care, P.C. was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.