Organization Active NPI

Prime Medical Associates LLC

  • Internal Medicine Physician
  • Somerset, NJ
National Provider Identifier
1760894786
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIME MEDICAL ASSOCIATES LLC
Practice address
49 Veronica Ave Ste 201
Somerset, NJ 08873-6802
Phone
(732) 545-8500
Fax
(732) 545-8550
NPI assigned
May 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Dvinder Kaur, MDNPI 1285605238
Title
Owner
Phone
(732) 545-8500

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NJ Primary

Addresses

Primary practice location

49 Veronica Ave Ste 201
Somerset, NJ 08873-6802

Mailing address

2 Braemer Dr
Princeton, NJ 08540-9426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140814000141 NJ Part B Supplier - Clinic/Group Practice 7810114923 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2078912Prime Medical Associates, LLC49 Veronica Avenue, Suite 201, Somerset, NJ 08873Certificate of waiverJun 5, 2028

National Provider Directory

National Provider Directory

Locations

49 Veronica Ave
#101A
Somerset, NJ 08873
Phone (732) 545-8500

49 Veronica Ave
Ste 201
Somerset, NJ 08873
Phone (732) 246-0495

Practitioners & affiliated clinicians

Practitioners 1

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": "1400976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1760894786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRAEMER DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085409426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VERONICA AVE STE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088736802",
            "telephone_number": "732-545-8500",
            "fax_number": "732-545-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-25",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "DVINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-545-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.