Prima Primary Care and Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMA PRIMARY CARE AND WELLNESS LLC

Practice address

501 Kings Hwy E Ste 106
Fairfield, CT 06825-4871

Phone

(203) 819-1203

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Marleena A Dimaggio, APRNNPI 1194727172

Title

Owner

Phone

(203) 819-1203

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marleena Dimaggio, APRN

  • Nurse Practitioner
  • Fairfield, CT
  • NPI 1194727172
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Bonilla, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Fairfield, CT
  • NPI 1578562526
  Medicare reassignment Care Compare group
• Joel S Jones, DO

  • General Practice Physician
  • Bentonville, AR
  • NPI 1194783472

  CT, Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1962278440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E STE 106",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254871",
            "telephone_number": "203-819-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KINGS HWY E STE 106",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254871",
            "telephone_number": "203-819-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA PRIMARY CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "DIMAGGIO",
        "authorized_official_first_name": "MARLEENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-819-1203",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Powers, DPT
• Preneta Physical Therapy, PC
• Richard Joseph Preneta Jr., PT
• Prestige Counseling LLC
• Deborah D Price, MSW LCSW
• Primary Care Physicians of Fairfield, P.C.
• Prime Healthcare of Southport,LLC
• Primed, LLC
• Baylie Pritchard, ND
• William Vanderveer Probasco, M.D., M.S.

• Family Medicine Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.