Prime Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIME CARE LLC

Doing business as

Prime Care LLC

Practice address

25 Capwell Ave
Pawtucket, RI 02860-5623

Phone

(401) 588-4215

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By 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

Jim Cross

Title

Office Admin

Phone

(401) 615-7311

Specialties & licenses 1

Addresses

Other names 1

• Prime Care LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 2

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.

• Nadia Mujahid, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Riverside, RI
  • NPI 1982803359
  Medicare reassignment NPD
• Ghazi Hussain, M.D

  • Hospitalist Physician
  • Woonsocket, RI
  • NPI 1972815306

  Internal Medicine

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1720894942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CAPWELL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605623",
            "telephone_number": "401-588-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CAPWELL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605623",
            "telephone_number": "401-588-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "401-615-7311"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Spinney Pratt, MSC. CCC-A
• Preferred Care Haven LLC
• Rovena Prekulaj, MSPT
• Glenn Stephen Prescod, M.D.
• Primary Care Medical Associates, Inc
• Erica Renee Prino
• Priority Managment Group Inc
• Procare Physical Therapy
• Professional Internal Medicine Associates Inc
• Sherri Lynn Provencal, PH.D.

• Internal Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.