PRIME MEDICAL CARE LLC
NPI 1376558759
Internal Medicine in Metuchen, NJ

Q: What is Prime Medical Care LLC's NPI number?

The NPI number for Prime Medical Care LLC is 1376558759. It was assigned to this organization in the NPPES registry on July 31, 2006.

Q: What is Prime Medical Care LLC's specialty?

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

Active since July 31, 2006CLIA 31D2225012 · Waiver

212 BRIDGE ST, METUCHEN, NJ 08840(732) 632-1700(732) 632-1704 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Prime Medical Care Llc NPPES

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

PRIME MEDICAL CARE LLC (NPI 1376558759) is a healthcare organization registered as an internal medicine in Metuchen, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Kavitha Thukkaram, Owner/ Physician, as its authorized official.

NPPES Registry Identity

NPI1376558759

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePRIME MEDICAL CARE LLC

Location Address212 BRIDGE STMetuchen, NJ 08840-2254

Mailing Address212 Bridge StMetuchen, NJ 08840-2254 · (732) 632-1700 · Fax (732) 632-1704

Phone(732) 632-1700

Fax(732) 632-1704

Organization SubpartNo

Authorized OfficialKavitha ThukkaramOwner/ Physician · (732) 632-1700

Enumeration DateJuly 31, 2006

Last NPPES UpdateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1376558759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X

212 BRIDGE ST, Metuchen, NJ 08840

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Other Identifiers 2

Medicaid0005681NJ

OtherMA72859NJ · Medical License

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

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prime Medical Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kavitha Thukkaram, M.D

Internal Medicine

NPI 1003854282

212 BRIDGE ST
Metuchen, NJ 08840

(732) 632-1700

✔ 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.

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 31D2225012

Prime Medical Care LLC · Metuchen, NJ

Active · expires May 17, 2027

CLIA Number31D2225012

Laboratory TypePhysician Office

Certificate Effective DateMay 18, 2025

Certificate Expiration DateMay 17, 2027

Laboratory DirectorKavitha Thukkaram

Laboratory Phone(732) 632-1700

Laboratory LocationPrime Medical Care LLC212 Bridge St Building D, Metuchen, NJ 08840

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Medical Care LLC's NPI number?

The NPI number for Prime Medical Care LLC is 1376558759. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Prime Medical Care LLC located?

Prime Medical Care LLC is located at 212 Bridge St, Metuchen, NJ 08840. The listed phone number is (732) 632-1700.

What is Prime Medical Care LLC's specialty?

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

Is Prime Medical Care LLC enrolled in Medicare?

Yes. Prime Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prime Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prime Medical Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prime Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2225012) is associated with this NPI, valid through May 17, 2027. 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 Medical Care LLC was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.