Prime Med Medical Services PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME MED MEDICAL SERVICES PC

Practice address

1676 N Olden Ave
Ewing, NJ 08638-3209

Phone

(347) 276-8866

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Prabash Koneru, MD

Title

Medical Director

Phone

(347) 276-8866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1205332111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 PACIFIC BLVD",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091139",
            "telephone_number": "347-276-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 N OLDEN AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086383209",
            "telephone_number": "347-276-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MED MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "PRABASH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-276-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Brain and Spine LLC (InFocus Urgent Care)
• Premise Health of New Jersey Medical PC (NJM West Trenton Clinic)
• Prestige Affiliates
• Prestige of Ewing Amdc, LLC
• Colleen Lynn Price, MSN, RN, APN
• Princeton Child Development Institute
• Princeton Healthcare Affiliated Physicians PC (Ewing Medical Associates - Princeton Medicine)
• Ashley Lauren Prokop, LAC, NCC, ATR-P
• Diana I Protsiv, PHARMD
• Randi Protter, MD

• Internal Medicine Physician in Ewing, NJ
• Providers in Ewing, 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 Apr 2, 2018; 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.