Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Primary Care, PC

Organization Internal Medicine Physician · NPI 1760714208

Northeast Primary Care, PC is an Internal Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8151 Revere St 1st Fl
Philadelphia, PA 19152-3002
Phone: (215) 624-3000
Fax: (215) 624-6855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD027187-E (PA)

Record details

NPI number1760714208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daria Dykyj — Office Manager · (215) 624-3000
NPI enumeratedFebruary 9, 2010
Last updated in NPPESFebruary 9, 2010
Mailing address8151 Revere Street, 1st Floor, Philadelphia, PA 19152-3002

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