PRIME HEALTHCARE SERVICES-ST MICHAELS MEDICAL GROUP LLC
NPI 1326494378
Internal Medicine in Newark, NJ

Q: What is Prime Healthcare Services-St Michaels Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 09, 2016

111 CENTRAL AVE, NEWARK, NJ 07102(973) 854-3592(973) 877-2434 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prime Healthcare Services-st Michaels Medical Group Llc NPPES

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

PRIME HEALTHCARE SERVICES-ST MICHAELS MEDICAL GROUP LLC (NPI 1326494378) is a healthcare organization registered as an internal medicine in Newark, New Jersey and active in the NPI registry since May 2016. The organization lists Christopher Doan, Chief Compliance Counsel, as its authorized official.

NPPES Registry Identity

NPI1326494378

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePRIME HEALTHCARE SERVICES-ST MICHAELS MEDICAL GROUP LLC

Location Address111 CENTRAL AVENewark, NJ 07102-1909

Mailing Address111 Central AveNewark, NJ 07102-1909 · (973) 854-3592 · Fax (973) 877-2434

Phone(973) 854-3592

Fax(973) 877-2434

Organization SubpartNo

Authorized OfficialChristopher DoanChief Compliance Counsel · (909) 235-4307

Enumeration DateMay 9, 2016

Last NPPES UpdateMay 12, 2016

✔ NPI 1326494378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPodiatristTaxonomy 213E00000X

111 CENTRAL AVE, Newark, NJ 07102

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

PAUL V SCOTT CRNA

Registered Nurse

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5043

DR. HOI-WING SUSANNA YIM M.D.

Internal Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

DR. MONIQUE ALMOND ANTONIA PRINCE MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (929) 513-0312

KING EMERGENCY ASSOCIATES, P.A.

Emergency Medicine

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

DR. NITA MODI MD

Specialist

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

GATEWAY EMERGENCY SERVICES PC

Emergency Medicine

111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102

Essex County (469) 401-2386

DR. CHRYSTINA MILDRED KIWAN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (973) 877-5000

KHALED MOHAMMAD KHALED BANI YASEEN MD

Student in an Organized Health Care Education/Training Program

111 CENTRAL AVE
NEWARK, NJ 07102

Essex County (551) 250-3743

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 Healthcare Services-St Michaels Medical Group LLC's NPI number?

The NPI number for Prime Healthcare Services-St Michaels Medical Group LLC is 1326494378. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is Prime Healthcare Services-St Michaels Medical Group LLC located?

Prime Healthcare Services-St Michaels Medical Group LLC is located at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 854-3592.

What is Prime Healthcare Services-St Michaels Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Prime Healthcare Services-St Michaels Medical Group LLC was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.