Primed Health LLC

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

25MA05907400 Issued in NJ

Legal business name

PRIMED HEALTH LLC

Practice address

10 Liberty Ave
Jersey City, NJ 07306-3825

Phone

(201) 222-6545

Fax

(201) 659-0510

NPI assigned

Mar 30, 2011

Last updated

Mar 30, 2011By 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

Dr. Hector J Leon-Wong, M.D

Title

President

Phone

(201) 222-6545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1841589884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIBERTY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063825",
            "telephone_number": "201-222-6545",
            "fax_number": "201-659-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LIBERTY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063825",
            "telephone_number": "201-222-6545",
            "fax_number": "201-659-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "LEON-WONG",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-222-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA05907400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent Medicine (Family Medicine) Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Adolescent Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.