Organization Active NPI

NJ Prime Health LLC

  • Internal Medicine Physician
  • Wall Township, NJ
National Provider Identifier
1043071830
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NJ PRIME HEALTH LLC
Practice address
2038 Fox Field Cir
Wall Township, NJ 07719-4600
Phone
(732) 790-8489
Fax
(732) 503-4703
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Manan Snehal Parikh, MDNPI 1114366010
Title
Owner
Phone
(732) 790-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2038 Fox Field Cir
Wall Township, NJ 07719-4600

Mailing address

2038 Fox Field Cir
Wall Township, NJ 07719-4600
Phone (732) 790-8489

Other identifiers 2

IdentifierTypeStateIssuer
25MA11111000OtherNJMEDICAL LICENSE
0838110MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131003809 NJ Part B Supplier - Clinic/Group Practice 0941653422 Receives reassigned benefits from 1 practitioner
Practice locations: Township, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1043071830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 FOX FIELD CIR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194600",
            "telephone_number": "732-790-8489",
            "fax_number": "732-503-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 FOX FIELD CIR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194600",
            "telephone_number": "732-790-8489",
            "fax_number": "732-503-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PRIME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "MANAN",
        "authorized_official_middle_name": "SNEHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-790-8489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA11111000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0838110",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.