Prime Gericare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME GERICARE LLC

Practice address

205 Hopkins Rd
Mickleton, NJ 08056-1273

Phone

(856) 848-8060

Fax

(856) 848-8038

NPI assigned

Jul 7, 2026

Last updated

Jul 14, 2026By 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

Imran Mirza, MDNPI 1376573204

Title

Owner

Phone

(856) 381-9598

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Imran A Mirza, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Deptford, NJ
  • NPI 1376573204
  Authorized official Same address or phone

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1417875659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080560069",
            "telephone_number": "856-848-8060",
            "fax_number": "856-848-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOPKINS RD",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080561273",
            "telephone_number": "856-848-8060",
            "fax_number": "856-848-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME GERICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-381-9598",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghassan Kraytem
• Kurative Therapy
• Carl Joseph Minniti Jr., MD
• Michele Solomon Moran, MS
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• Rita Reutter, APN
• Stephen Rioux, DO
• The Minniti Center for Medical Oncology and Hematology
• Kiera Traum, APN
• Cherie Lynn Young, PSY.D.

• Internal Medicine Physician in Mickleton, NJ
• Providers in Mickleton, 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 Jul 14, 2026; 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.