Pri Med Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB06569500 Issued in NJ

Legal business name

PRI MED CARE PA

Practice address

205 Summer Ave
Newark, NJ 07104

Phone

(973) 484-2800

NPI assigned

Jun 27, 2006

Last updated

Aug 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Roxana Peeke

Title

Billing

Phone

(201) 522-3205

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia E Berdugo, D.O.

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1841285780
  Medicare reassignment NPD

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1063449023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SUMMER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-484-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SUMMER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-484-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRI MED CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "PEEKE",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "201-522-3205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB06569500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8319405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of New Jersey Medical PC (Horizon BCBS of NJ - Newark Health Center and Pharmacy)
• Premise Health of New Jersey Medical, P.C. (TLS Newark Health Center)
• Prescriptions Etc Inc.
• Prestige Residential Services
• Prevailing Counseling Services LLC
• Pricus, Inc. (Campus Pharmacy)
• Prime (Physical Therapy)
• Prime Healthcare Services - St Michaels LLC
• Prime Healthcare Services-St Michaels Medical Group LLC
• Prime Luxury Haven

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, 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 Aug 4, 2008; 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.