Newark Prime Care,LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MA67816 Issued in NJ

Legal business name

NEWARK PRIME CARE,LLC

Practice address

337 Bloomfield Ave # a-2
Newark, NJ 07107-2405

Phone

(973) 497-2424

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By 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

Viviane AckadNPI 1134149909

Title

M.D.

Phone

(973) 497-2424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Viviane Ackad, MD

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1134149909
  Authorized official Same address or phone

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1881855278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 BLOOMFIELD AVE # A-2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072405",
            "telephone_number": "973-497-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 BLOOMFIELD AVE # A-2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072405",
            "telephone_number": "973-497-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK PRIME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ACKAD",
        "authorized_official_first_name": "VIVIANE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "973-497-2424"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA67816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newark Pain and Rehab Center, LLC
• Newark Pediatric Dental LLC (Bambino Dentistry for Kids)
• Newark Pharmacy LLC
• Newark Physical Therapy
• Newark Prep Charter School
• Newark Public Schools
• Newark Rehabilitation Center PA
• Newark Renaissance House, Inc
• Newark Renaissance House, Inc
• Newark Renaissance House, Inc

• Medical Specialty Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.