Primehealth Preferred LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03816100 Issued in NJ

Legal business name

PRIMEHEALTH PREFERRED LLC

Practice address

266 King George Rd
Suite F
Warren, NJ 07059-5120

Phone

(908) 698-4784

Fax

(908) 607-1909

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas H Kloos, M.D.

Title

President

Phone

(908) 698-4784

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1053683557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 KING GEORGE RD",
            "address_2": "SUITE F",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595120",
            "telephone_number": "908-698-4784",
            "fax_number": "908-607-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KING GEORGE RD",
            "address_2": "SUITE F",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595120",
            "telephone_number": "908-698-4784",
            "fax_number": "908-607-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEHEALTH PREFERRED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "KLOOS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-698-4784",
        "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": "25MA03816100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.