Primed Medical Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA072670 Issued in NJ

Legal business name

PRIMED MEDICAL CARE PC

Practice address

616 Willow Grove Street
Unit 1a
Hackettstown, NJ 07840-1779

Phone

(908) 852-8484

Fax

(908) 852-4197

NPI assigned

Aug 22, 2006

Last updated

Apr 29, 2026By 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

Sanjay Kavathia, MDNPI 1124078142

Title

MD/Owner

Phone

(908) 852-8484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Primed Medica Care PC Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Sanjay Kavathia, M.D.

  • Internal Medicine Physician
  • Hackettstown, NJ
  • NPI 1124078142

  Single Specialty

  Medicare reassignment NPD Authorized official
• Deborah Lanterman

  • Family Nurse Practitioner
  • Princeton, NJ
  • NPI 1467204073
  Medicare reassignment NPD (past)
• Sopna E Jacob, MD

  • Internal Medicine Physician
  • Wilson, NC
  • NPI 1184723405
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1972619807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 WILLOW GROVE ST STE 1A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401779",
            "telephone_number": "908-852-8484",
            "fax_number": "908-852-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 WILLOW GROVE STREET",
            "address_2": "UNIT 1A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401779",
            "telephone_number": "908-852-8484",
            "fax_number": "908-852-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMED MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "KAVATHIA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "908-852-8484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA072670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8684308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primed Medica Care PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.