1. Home
  2. Directory
  3. New Jersey
  4. Newark
  5. Internal Medicine
  6. NPI Profile

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

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: July 19, 2026.

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
Open in Google Maps ↗

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.

DR. TERESA O MADRID M.D.
Family Medicine (Adult Medicine)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5543
DR. WILLIAM RICHARD CHENITZ MD, FACP
Internal Medicine (Nephrology)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 624-4908
MARIO SEGUNDO GONZALEZ MD FCAP FASCP
Pathology (Anatomic Pathology & Clinical Pathology)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5200
MR. RICHARD TERENCE SULLIVAN RN, APN,C
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Essex County (973) 877-5153
MS. REETU MALINI SOOKRAJ APRN, BC
Nurse Practitioner (Family)
111 CENTRAL AVE, CARDIAC CATH LAB
NEWARK, NJ 07102
Essex County (973) 877-5153
GEORGETTE WILSON-GRANBY
Nurse Practitioner (Adult Health)
111 CENTRAL AVE, SMMC, EMPLOYEE HEALTH - MSH ROOM 203
NEWARK, NJ 07102
Essex County (973) 877-5452
DR. JOHN S KASHANI DO
Emergency Medicine (Medical Toxicology)
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. ARTHUR T CANARIO M.D.
Contractor
111 CENTRAL AVE, FLOOR M2
NEWARK, NJ 07102
Essex County (973) 877-2654

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 with the weekly NPPES data releases published by CMS.