Prime Care One, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

55A001 Issued in NJ

Legal business name

PRIME CARE ONE, LLC

Practice address

620 State Route 35
Middletown, NJ 07748-4224

Phone

(732) 275-0790

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tony J. Harris

Title

Senior Reimbursement Manager

Phone

(703) 854-0830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brighton Gardens of Middletown Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Brighten Gardens of Raleigh5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Care One, LLC

  • Assisted Living Facility
  • Mountainside, NJ
  • NPI 1831243120
  NPD tax ID
• Prime Care One LLC

  • Assisted Living Facility
  • Raleigh, NC
  • NPI 1063705382
  NPD tax ID
• Prime Care One LLC

  • Assisted Living Facility
  • Winston Salem, NC
  • NPI 1811230279
  NPD tax ID
• Prime Care One, LLC

  • Assisted Living Facility
  • Charlotte, NC
  • NPI 1912052622
  NPD tax ID

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1265586549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 STATE ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484224",
            "telephone_number": "732-275-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STATE ROUTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484224",
            "telephone_number": "732-275-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "55A001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0900931",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Gardens of Middletown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Pomykala, PT, DPT
• Steven Michael Popper, PA
• Karen Powell, FNP-BC
• Premier Dental of Middletown
• Premise Health of New Jersey Medical PC
• Proform Physical Therapy LLC
• Sojin Puthiyedath Varghese
• Qsa Global, LLC
• Starling Rauchwerk, MSCCC
• Anthony Joseph Ricca, MD

• Assisted Living Facility in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.