Organization Active NPI

Primary Healthcare LLC

  • Internal Medicine Physician
  • North Brunswick, NJ
National Provider Identifier
1053548586
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY HEALTHCARE LLC
Practice address
2090 Route 27
Suite 101
North Brunswick, NJ 08902-1141
Phone
(732) 220-0049
Fax
(732) 354-0486
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Nazia Rizvi, M.D.NPI 1205818135
Title
President
Phone
(732) 220-0049

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: 193400000X SINGLE SPECIALTY GROUP 207R00000X NJ Primary

Addresses

Primary practice location

2090 Route 27
Suite 101
North Brunswick, NJ 08902-1141

Mailing address

2090 Route 27
Suite 101
North Brunswick, NJ 08902-1141
Phone (732) 220-0049

Other identifiers 1

IdentifierTypeStateIssuer
0177075MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000302 NJ Part B Supplier - Clinic/Group Practice 2264584713 Receives reassigned benefits from 2 practitioners
Practice locations: North Brunswick, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2000382Primary Healthcare, LLC2090 Route 27, Suite 101, North Brunswick, NJ 08902Certificate of waiverNov 29, 2027

National Provider Directory

National Provider Directory

Locations

1543 State Route 27
Ste 15
Somerset, NJ 08873
Phone (732) 220-0049

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGHADD

Practitioners & affiliated clinicians

Practitioners 2

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": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1053548586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 ROUTE 27",
            "address_2": "SUITE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021141",
            "telephone_number": "732-220-0049",
            "fax_number": "732-354-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ROUTE 27",
            "address_2": "SUITE 101",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021141",
            "telephone_number": "732-220-0049",
            "fax_number": "732-354-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "NAZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-220-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177075",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.