Prime Surgicare, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA08584200 Issued in NJ

Legal business name

PRIME SURGICARE, LLC

Practice address

901 W Main St
Freehold, NJ 07728-2537

Phone

(646) 642-3543

NPI assigned

Aug 2, 2009

Organization subpart

No

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

Authorized official

Name

Oluseun Sowemimo, MDNPI 1780609628

Title

President

Phone

(646) 642-3543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Oluseun Sowemimo

  • Surgery Physician
  • Hollywood, MD
  • NPI 1780609628

  NJ

  Medicare reassignment NPD Authorized official
• Jolita Marie Auguste, M.D.

  • Surgery Physician
  • Monroe Township, NJ
  • NPI 1063772283
  Medicare reassignment NPD
• Yevgeniya Dreizin, PHYSICIANS ASSISTANT

  • Physician Assistant
  • Freehold, NJ
  • NPI 1881677599
  Medicare reassignment

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

{
    "created_epoch": "1249171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249171200000",
    "number": "1912138496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "646-642-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SURGICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-02",
        "last_updated": "2009-08-02",
        "status": "A",
        "authorized_official_last_name": "SOWEMIMO",
        "authorized_official_first_name": "OLUSEUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-642-3543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08584200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorilei Price, APN, PMHNP-BC
• Primary Physical Therapy, LLC
• Prime Function Rehab LLC
• Prime Internal Medicine
• Prime Spine Chiropractic LLC
• Prime Surgicare, LLC
• Princeton Brain & Spine, LLC
• Princeton Brain & Spine, LLC
• Monica Principato, MSW LCSW
• Priority Eye Care, LLC

• Surgery Physician in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.