Primecare Comprehensive Health, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PRIMECARE COMPREHENSIVE HEALTH, LLC

Practice address

2600 Glasgow Ave Ste 203
Newark, DE 19702-5704

Phone

(302) 204-1639

Fax

(302) 209-6927

NPI assigned

Jun 1, 2024

Organization subpart

No

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

Authorized official

Name

Ada Chuk Kwan Lee, NURSE PRACTITIONERNPI 1932648706

Title

Owner

Phone

(917) 915-8506

Specialties & licenses 2

Addresses

Other names 1

• PRIME THERAPY Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 1

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

• Ada Chukkwan Lee, NP

  • Nurse Practitioner
  • Newark, DE
  • NPI 1932648706

  Gerontology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1730920117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SILVER BIRCH LN",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012384",
            "telephone_number": "917-915-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025704",
            "telephone_number": "302-204-1639",
            "fax_number": "302-209-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE COMPREHENSIVE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "CHUK KWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-915-8506",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIME THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Price, CRNA
• Taylor Price, PA-C
• Kiersten Priest, MSW
• Christopher Charles Prieto, D.O.
• Meagan Prime, APRN
• Priscilla Putnam, PH.D., LLC
• Dawn Michelle Pritchard, CNM
• Professional Technicians Incorporated
• Proficient Mind and Wellness Clinic LLC
• Progressive Dental Arts

• Primary Care Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Primary Care Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.