Prime Diagnosis Medical P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08733800 Issued in NJ

Legal business name

PRIME DIAGNOSIS MEDICAL P.A.

Practice address

1325 Paterson Plank Rd
Secaucus, NJ 07094-3746

Phone

(201) 583-5232

Fax

(201) 351-4016

NPI assigned

Jul 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Vasiliky Tsirogiannis, M.D.NPI 1316296544

Title

President

Phone

(551) 482-6186

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Vasiliky Tsirogiannis, M.D.

  • Internal Medicine Physician
  • Secaucus, NJ
  • NPI 1316296544
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1972986297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943746",
            "telephone_number": "201-583-5232",
            "fax_number": "201-351-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PATERSON PLANK RD",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943746",
            "telephone_number": "201-583-5232",
            "fax_number": "201-351-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME DIAGNOSIS MEDICAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "TSIROGIANNIS",
        "authorized_official_first_name": "VASILIKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "551-482-6186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08733800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324655",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Archana Vasudeo Prabhu, PT
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• Silvia Carmen Raguseo, PHARM D.
• Rina Raju, MD
• Danitza Ramos

• Internal Medicine Physician in Secaucus, NJ
• Providers in Secaucus, 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 Dec 16, 2016; 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.