Primary Care Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA061626 Issued in NJ

Legal business name

PRIMARY CARE MEDICINE, LLC

Practice address

20-19 Fair Lawn Ave
Fair Lawn, NJ 07410-2320

Phone

(201) 797-2003

Fax

(201) 797-7003

NPI assigned

Jul 30, 2007

Last updated

Jul 30, 2007By 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

Dr. Basel Batarseh, MDNPI 1891803318

Title

Medical Director

Phone

(201) 797-2003

Specialties & licenses 1

Addresses

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.

• Basel N Batarseh, MD

  • Internal Medicine Physician
  • Fair Lawn, NJ
  • NPI 1891803318
  Authorized official Same address or phone

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1063602696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36255",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071880001",
            "telephone_number": "201-797-2003",
            "fax_number": "201-797-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-19 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102320",
            "telephone_number": "201-797-2003",
            "fax_number": "201-797-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "BATARSEH",
        "authorized_official_first_name": "BASEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-797-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA061626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Medical Equipment, LLC
• Emily Prendergast, MS, RD
• Joshua M Prensky, DDS
• Leonard J Press, OD
• Primary Care Medicine LLC
• Prime Neurology LLC
• Priority Health Home Care Agency, LLC
• Pro Mobility Incorporated
• Lisa Ann Pro-Menner, MSW
• Veronica Pruchansky, DNP, FNP-BC, FNP-C

• Internal Medicine Physician in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Jul 30, 2007; 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.