Prime Health Services

LBN: Prime Health Services
Prime Health Services is an health care organization with primary practice located at 393 Northfield Ave , West Orange NJ 07052-3001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Prime Health Services can be contacted via phone (908) 721-2153, or through Hosadurga, Supriya via phone (908) 721-2153.

Contact Information

Primary practice address
393 Northfield Ave West Orange NJ 07052-3001
Phone: (908) 721-2153
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hosadurga, Supriya Doctor of Medicine (MD)
Phone: (908) 721-2153

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1588014922
LBN Legal business name Prime Health Services
DBA Doing business as
Authorized official Hosadurga, Supriya Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588014922 NPPES
New Jersey Other 25MA08162900 MEDICAL LICENSE

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