Organization Active NPI

Primary and Preventative Internal Medicine of Central New Jersey, LLC

  • Internal Medicine Physician
  • South Amboy, NJ
National Provider Identifier
1801078779
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY AND PREVENTATIVE INTERNAL MEDICINE OF CENTRAL NEW JERSEY, LLC
Practice address
2045 US Highway 35 South
South Amboy, NJ 08879
Phone
(732) 721-0071
Fax
(732) 721-7712
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Craig C. Price, MD
Title
Owner/Authorized Representative
Phone
(732) 721-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NJ Primary

Addresses

Primary practice location

2045 US Highway 35 South
South Amboy, NJ 08879

Mailing address

2045 US Highway 35 South
South Amboy, NJ 08879-2069
Phone (732) 721-0071

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1801078779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 US HIGHWAY 35 SOUTH",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792069",
            "telephone_number": "732-721-0071",
            "fax_number": "732-721-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 US HIGHWAY 35 SOUTH",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "08879",
            "telephone_number": "732-721-0071",
            "fax_number": "732-721-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY AND PREVENTATIVE INTERNAL MEDICINE OF CENTRAL NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "732-721-0071",
        "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 South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.