Organization Active NPI

Primary Prevention Center PLLC

  • Health Service Clinic/Center
  • Newtown, PA
National Provider Identifier
1750002812
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PRIMARY PREVENTION CENTER PLLC
Practice address
638 Newtown Yardley Rd
Newtown, PA 18940-1758
Phone
(484) 619-0512
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Michael Richard Como, CRNPNPI 1861126120
Title
President
Phone
(484) 619-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

638 Newtown Yardley Rd
Newtown, PA 18940-1758

Mailing address

811 Westridge Dr
Phoenixville, PA 19460-3365
Phone (484) 619-0512

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214001709 PA Part B Supplier - Clinic/Group Practice 6103298443 Receives reassigned benefits from 3 practitioners
Practice locations: Newtown, PA

National Provider Directory

National Provider Directory

Locations

638 Newtown Yardley Rd
Ste 2E
Newtown, PA 18940
Phone (215) 968-1616

638 Newtown Yardley Rd
Ste G
Newtown, PA 18940
Phone (267) 443-7770

638 Newtown Yardley Rd
Ste 2G
Newtown, PA 18940
Phone (267) 443-7770

638 Newtown Yardley Rd
Ste 2GH
Newtown, PA 18940
Phone (267) 443-7770

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1750002812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WESTRIDGE DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603365",
            "telephone_number": "484-619-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 NEWTOWN YARDLEY RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401758",
            "telephone_number": "484-619-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PREVENTION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "COMO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-619-0512",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Record System cloud based",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "638 Newtown Yardley Rd",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189401758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.