Kings Park Primary Medical Care PC
NPI 1073747689 · Internal Medicine Physician · Kings Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kings Park Primary Medical Care PC is a Internal Medicine Physician organization in Kings Park, NY (NPI 1073747689).
Provider details
- NPI number
- 1073747689
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debra Pincus, President(631) 269-0180
- License
- 183029 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Frequently asked questions
- What is Kings Park Primary Medical Care PC's NPI number?
- Kings Park Primary Medical Care PC's National Provider Identifier (NPI) is 1073747689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kings Park Primary Medical Care PC?
- Kings Park Primary Medical Care PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kings Park Primary Medical Care PC located?
- Kings Park Primary Medical Care PC's practice location on file with NPPES is 65 Indian Head Rd, Kings Park, NY 11754-3729.
- What is Kings Park Primary Medical Care PC's phone number?
- The practice phone number listed in the NPPES registry for Kings Park Primary Medical Care PC is (631) 269-0180.
- Does Kings Park Primary Medical Care PC accept Medicare?
- Kings Park Primary Medical Care PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kings Park Primary Medical Care PC?
- The authorized official listed on Kings Park Primary Medical Care PC's NPPES record is Debra Pincus, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kings Park Primary Medical Care PC's NPI active?
- Yes — Kings Park Primary Medical Care PC's NPI (1073747689) is active in the NPPES registry as of the last update on 2009-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.