Prime Prime LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIME PRIME LLC

Practice address

800 Harbor Ter Unit 802
Island Park, NY 11558-2050

Phone

(917) 508-2682

NPI assigned

Mar 3, 2023

Last updated

Mar 3, 2023By 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

Mrs. Elen Beremesh, RN

Title

Owner (Via Spousal Joint Venture)

Phone

(917) 508-2682

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1588364004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HARBOR TER UNIT 802",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115582050",
            "telephone_number": "917-508-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HARBOR TER UNIT 802",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115582050",
            "telephone_number": "917-508-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PRIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "BEREMESH",
        "authorized_official_first_name": "ELEN",
        "authorized_official_title_or_position": "OWNER (VIA SPOUSAL JOINT VENTURE)",
        "authorized_official_telephone_number": "917-508-2682",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oprx #11558, LLC (OnPoint Pharmacy of Island Park)
• Ravi Patel, PHARM D.
• Tej H Patel
• Anne Marie Peters, N.P.P.
• Prestige Adult Center
• Steven Leonard Prince, D.P.M.
• Katelyn Radice
• Gelito Matias Ramos, M.D.
• Elizabeth Rasulo
• Theresa Reichel, M.S.

• Durable Medical Equipment & Medical Supplies in Island Park, NY
• Providers in Island Park, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.