PRIME ENDOCRINOLOGY, LLC
NPI 1306312095
Clinic/Center - Primary Care in West Long Branch, NJ

Active since October 19, 2018CLIA 31D2158595 · Waiver
103 PARKER RD STE B, WEST LONG BRANCH, NJ 07764(732) 222-0307 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Endocrinology, Llc NPPES

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

PRIME ENDOCRINOLOGY, LLC (NPI 1306312095) is a healthcare organization registered as a primary care in West Long Branch, New Jersey and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Sudha Ganne, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1306312095
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRIME ENDOCRINOLOGY, LLC
Location Address103 PARKER RD STE BWest Long Branch, NJ 07764-1009
Mailing Address103 Parker Rd Ste BWest Long Branch, NJ 07764-1009 · (732) 222-0307
Organization SubpartNo
Authorized OfficialSudha GannePhysician Owner · (732) 222-0307
Enumeration DateOctober 19, 2018
NPI 1306312095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
103 PARKER RD STE B, West Long Branch, NJ 07764

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2158595

Prime Endocrinology · West Long Branch, NJ
Active · expires Dec 2, 2026
CLIA Number31D2158595
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorSudha Ganne
Laboratory Phone(732) 222-0307
Laboratory LocationPrime Endocrinology103 Parker Road, Suite B, West Long Branch, NJ 07764
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
103 PARKER RD STE B
WEST LONG BRANCH, NJ 07764

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 Prime Endocrinology, LLC's NPI number?

The NPI number for Prime Endocrinology, LLC is 1306312095. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Prime Endocrinology, LLC located?

Prime Endocrinology, LLC is located at 103 Parker Rd Ste B, West Long Branch, NJ 07764. The listed phone number is (732) 222-0307.

What is Prime Endocrinology, LLC's specialty?

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

Does Prime Endocrinology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2158595) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prime Endocrinology, LLC was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.