PRIME ENDOCRINOLOGY, LLC
NPI 1306312095
Clinic/Center - Primary Care in West Long Branch, NJ
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Endocrinology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Prime Endocrinology, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NJFrequently 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.
Is Prime Endocrinology, LLC enrolled in Medicare?
Yes. Prime Endocrinology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Endocrinology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Prime Endocrinology, LLC, in Endocrinology 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 8 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.
# Prime Endocrinology, Llc · NPI 1306312095
Primary Care organization in West Long Branch, New Jersey. Organization record, active in the CMS NPPES registry since October 19, 2018.
## Identity
- **NPI:** 1306312095 (Entity type: Organization)
- **Enumerated:** October 19, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Sudha Ganne, PHYSICIAN OWNER
## Practice location
- **Address:** 103 PARKER RD STE B, West Long Branch, NJ 07764-1009
- **Phone:** (732) 222-0307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Endocrinology (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306312095) · Data from the CMS NPPES public registry.