Prime Arthritis and Rheumatology Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME ARTHRITIS AND RHEUMATOLOGY CENTER LLC

Practice address

526 Bloomfield Ave Ste 203
Caldwell, NJ 07006-5525

Phone

(973) 547-3514

Fax

(973) 228-2104

NPI assigned

Aug 29, 2024

Last updated

Dec 30, 2024By 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

Mowyad KhalidNPI 1023540572

Title

Owner

Phone

(973) 547-3514

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Interoperability endpoints

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

Practitioners 2

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.

• Mowyad Omer Elamin Khalid, M.D

  • Rheumatology Physician
  • Caldwell, NJ
  • NPI 1023540572
  Medicare reassignment Care Compare group NPD Authorized official
• Mohammed Hamid, MD

  • Internal Medicine Physician
  • Caldwell, NJ
  • NPI 1063942589
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1265266530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 BLOOMFIELD AVE STE 203",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065525",
            "telephone_number": "973-547-3514",
            "fax_number": "973-228-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BLOOMFIELD AVE STE 203",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065525",
            "telephone_number": "973-547-3514",
            "fax_number": "973-228-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ARTHRITIS AND RHEUMATOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "MOWYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-547-3514"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatrice Rosalia Polizzotto, MSW, LCSW LLC
• Wendy R Pollack, LCSW
• Precision Vision
• Premier Family Medical, PC
• Cynthia R Prestigiacomo, MD
• Princeton Behavioral Associates, LLC
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Penelope B. Prosperi, MSW
• Jennifer Ra, PSYD

• Internal Medicine Physician in Caldwell, NJ
• Providers in Caldwell, 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 Dec 30, 2024; 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.