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Contact Information

PRIME MEDICAL CARE LLC
212 BRIDGE ST
METUCHEN, NJ08840-2254
 Phone: 732-632-1700
 Fax: 732-632-1704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for PRIME MEDICAL CARE LLC

NPI Number 1376558759
LBN Legal business name PRIME MEDICAL CARE LLC
Authorized official KAVITHA THUKKARAM - (OWNER/ PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 03/06/2025 - More than a year ago
Identifiers
NJ Medicaid 0005681
NJ Other MA72859 MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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