Primary Medical Services, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PRIMARY MEDICAL SERVICES, LLC

Practice address

14-20 Watsessing Ave
Bloomfield, NJ 07003-4611

Phone

(973) 748-0049

Fax

(973) 743-0026

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

Alexandra Jimenez

Title

Medical Biller

Phone

(973) 748-0049

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1992330443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1708",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070031708",
            "telephone_number": "973-748-0049",
            "fax_number": "973-743-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-20 WATSESSING AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034611",
            "telephone_number": "973-748-0049",
            "fax_number": "973-743-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "973-748-0049"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "primarymservices@gmail.com",
            "affiliation": "N",
            "address_1": "14-20 Watsessing Ave",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070034611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.