Prime Care Physicians, P.L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

54964 Issued in NY

Legal business name

PRIME CARE PHYSICIANS, P.L.L.C.

Doing business as

Prime Care Physicians, P.L.L.C.

Practice address

1444 Western Ave
Suite B-1
Albany, NY 12203-3440

Phone

(518) 458-2611

Fax

(518) 489-1914

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Whalen

Title

Director of Administration

Phone

(518) 435-2704

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Prime Care Physicians, P.L.L.C. Doing business as

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1871713636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATRIUM DR",
            "address_2": "SUITE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051441",
            "telephone_number": "518-435-2704",
            "fax_number": "518-458-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 WESTERN AVE",
            "address_2": "SUITE B-1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033440",
            "telephone_number": "518-458-2611",
            "fax_number": "518-489-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PHYSICIANS, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "518-435-2704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "54964",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "54964",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "54964",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "54964",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "54964",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "54964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02616571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Physicians, P.L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, P.L.L.C.
• Prime Care Physicians, PLLC
• Prime Medical Rehabilitation, PC

• Family Medicine Physician in Albany, NY
• Providers in Albany, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.