PREVENTION CLINICS LLC
NPI 1073981361
Clinic/Center - Primary Care in Clifton, NJ

Active since September 03, 2015
1033 ROUTE 46 STE G1, CLIFTON, NJ 07013(973) 777-3711(973) 472-3938 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Sep 11, 2017 (2 updates tracked since 2017).

About Prevention Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREVENTION CLINICS LLC (NPI 1073981361) is a healthcare organization registered as a primary care in Clifton, New Jersey and active in the NPI registry since September 2015. The organization lists Maged T Boutros, Owner, as its authorized official.

NPPES Registry Identity

NPI1073981361
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREVENTION CLINICS LLC
Location Address1033 ROUTE 46 STE G1Clifton, NJ 07013-2448
Mailing Address1033 Route 46 Ste G1Clifton, NJ 07013-2448 · (973) 777-3711 · Fax (973) 472-3938
Fax(973) 472-3938
Organization SubpartNo
Authorized OfficialMaged T BoutrosOwner · (973) 777-3711
Enumeration DateSeptember 3, 2015
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073981361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA08097300
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA08097300 (NJ)
1033 ROUTE 46 STE G1, Clifton, NJ 07013

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prevention Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Prevention Clinics LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1497785281
1033 ROUTE 46 STE G1
Clifton, NJ 07013
(973) 429-6000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1912047754
1033 ROUTE 46 STE G1
Clifton, NJ 07013
(973) 777-3711
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699471342
1033 US HIGHWAY 46 STE G1
Clifton, NJ 07013
(973) 777-3711
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prevention Clinics LLC's NPI number?

The NPI number for Prevention Clinics LLC is 1073981361. It was assigned to this organization in the NPPES registry on September 3, 2015.

Where is Prevention Clinics LLC located?

Prevention Clinics LLC is located at 1033 Route 46 Ste G1, Clifton, NJ 07013. The listed phone number is (973) 777-3711.

What is Prevention Clinics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Prevention Clinics LLC enrolled in Medicare?

Yes. Prevention Clinics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prevention Clinics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Prevention Clinics LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prevention Clinics LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.