Prime Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08593300 Issued in NJ

Legal business name

PRIME INTERNAL MEDICINE

Practice address

901 W Main St
Suite 104
Freehold, NJ 07728-2537

Phone

(732) 637-2768

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Fiolakemi Sowemimo, M.D.

Title

General Practitioner

Phone

(732) 637-2768

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5667/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Casandra Hicks Autry, M.D.

  • Obstetrics & Gynecology Physician
  • Colts Neck, NJ
  • NPI 1205801859
  NPD
• Tiffany Annmarie Martinez, D.O.

  • Obstetrics & Gynecology Physician
  • Freehold, NJ
  • NPI 1205196573
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1588912968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "SUITE 104",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-637-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "SUITE 104",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-637-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "SOWEMIMO",
        "authorized_official_first_name": "FIOLAKEMI",
        "authorized_official_title_or_position": "GENERAL PRACTITIONER",
        "authorized_official_telephone_number": "732-637-2768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08593300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Imaging Corporation
• Premier Pain Centers, LLC.
• Lorilei Price, APN, PMHNP-BC
• Primary Physical Therapy, LLC
• Prime Function Rehab LLC
• Prime Spine Chiropractic LLC
• Prime Surgicare, LLC
• Prime Surgicare, LLC
• Princeton Brain & Spine, LLC
• Princeton Brain & Spine, LLC

• Internal Medicine Physician in Freehold, NJ
• Providers in Freehold, 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 Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.