PRIME MEDICAL CARE LLC NPI 1376558759

NPI Information

NPI: 1376558759
Provider Name: PRIME MEDICAL CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2225012

Address:
205 BRIDGE ST
METUCHEN, NJ
ZIP 08840
Phone: (732) 632-1700
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PRIME MEDICAL CARE LLC is a primary care clinic center in Metuchen, NJ. PRIME MEDICAL CARE LLC NPI is 1376558759. The provider is registered as an organization entity type.

The provider's business location address is:

205 BRIDGE ST
METUCHEN, NJ
ZIP 08840-290
Phone: (732) 632-1700
Fax: (732) 632-1704

The provider's authorized official is Kavitha Thukkaram .
The authorized official title is Md and has the following contact phone number (732) 632-1700.

The CLIA number assigned to this NPI record is 31D2225012 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 12/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MA72859	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0005681	MEDICAID	NEW JERSEY
2	056881	MEDICARE PIN	NEW JERSEY
3	H58388	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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