Active NPI
Prime Supports & Care LLC
- Developmentally Disabled Services Day Training Agency
- Watchung, NJ
National Provider Identifier
1548077985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- PRIME SUPPORTS & CARE LLC
- Practice address
- 9107 Summit Way
Watchung, NJ 07069-7401 - Phone
- (917) 455-5732
- NPI assigned
- Dec 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Akinwole Fellix Alewi
- Title
- President
- Phone
- (917) 455-5732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
9107 Summit Way
Watchung, NJ 07069-7401
Mailing address
9107 Summit Way
Watchung, NJ 07069-7401
Phone (917) 455-5732
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1548077985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9107 SUMMIT WAY",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070697401",
"telephone_number": "917-455-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9107 SUMMIT WAY",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070697401",
"telephone_number": "917-455-5732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME SUPPORTS & CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "ALEWI",
"authorized_official_first_name": "AKINWOLE",
"authorized_official_middle_name": "FELLIX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-455-5732",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.