Prime Care Medical Group P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME CARE MEDICAL GROUP P.C.

Practice address

2457 E Main St Ste 1E
Waterbury, CT 06705-2684

Phone

(203) 753-8477

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vidyapriya Loganathan, M.D.

Title

MD

Phone

(203) 753-8477

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roman Khodzinsky, M.D.

  • Internal Medicine Physician
  • Hamden, CT
  • NPI 1922185792
  NPD (past)
• Anitha R Gowda, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1972534113
  NPD (past)
• Michael Zhihua Li, M.D.

  • Internal Medicine Physician
  • Rancho Cordova, CA
  • NPI 1588639405
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407933286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 E MAIN ST STE 1E",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052684",
            "telephone_number": "203-753-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 E MAIN ST STE 1E",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052684",
            "telephone_number": "203-753-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOGANATHAN",
        "authorized_official_first_name": "VIDYAPRIYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-753-8477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG3286",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Prete, DO
• Jason Paul Prevelige, PA-C
• Price Chopper Inc
• Alexandra N Price, DNP, FNP-BC/PMHNP-BC
• Pride and Valor Therapy Services LLC
• Primecare, Inc
• Linda Isis Primus, RDH BSDH MHS
• Princess Corset and Lingerie Shop, LLC
• Kathiana Princy, APRN
• Patricia Pring

• Internal Medicine Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.