Primera Health and Wellness Company

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRIMERA HEALTH AND WELLNESS COMPANY

Practice address

130 7TH Ave
Suite 312
New York, NY 10011-1803

Phone

(678) 904-7564

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By 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

Shailesh Sushil Kothari

Title

Owner

Phone

(678) 904-7564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1407381072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20430 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 7TH AVE",
            "address_2": "SUITE 312",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111803",
            "telephone_number": "678-904-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERA HEALTH AND WELLNESS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_middle_name": "SUSHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-904-7564"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Social Day Care
• Sabella Sandra Prime, PMHNP
• Primecare Medical Solutions, LLC
• Primeorthmed Supplies LLC
• Primeorthomed Supplies LLC
• Nicole Primero
• Ryu Andre Marcus Primero, PT
• Lisa Primiani, M.D.
• Jaclyn Primiano, OTR/L
• Michelle Primiano, MS, CGC

• General Practice Physician in New York, NY
• Providers in New York, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.