Prime Care Physicians, P.L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

54964 Issued in NY

Legal business name

PRIME CARE PHYSICIANS, P.L.L.C.

Doing business as

Prime Care Physicians, P.L.L.C.

Practice address

4 Normanskill Blvd
Delmar, NY 12054-1335

Phone

(518) 435-2740

Fax

(518) 458-2610

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Whalen

Title

Director of Administration

Phone

(518) 435-2704

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Prime Care Physicians, P.L.L.C. Doing business as

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1578783205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATRIUM DR",
            "address_2": "SUITE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051441",
            "telephone_number": "518-435-2704",
            "fax_number": "518-458-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORMANSKILL BLVD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541335",
            "telephone_number": "518-435-2740",
            "fax_number": "518-458-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PHYSICIANS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "518-435-2704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "54964",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "54964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02616571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Physicians, P.L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia B. Politi, RPH
• Robin Love Pollitzer, LMSW
• Karin J. Potik, O.T.
• Lisa G Preller, RNC-OB, CNM, MSN
• Prime Care Physicians, P.L.L.C.
• Pruitt Psychological Services
• Richard Joseph Pryor, M.D.
• Julie Purcell
• Robert R Quimby, M.D.
• Kayla Rackowski, PT

• Pediatrics Physician in Delmar, NY
• Providers in Delmar, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.