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PRUDENTMD LLC
NPI 1457524217
Clinic/Center - Primary Care in Iselin, NJ

Active since April 11, 2008CLIA 31D1091092 · Waiver
5 DUNDEE AVENUE, ISELIN, NJ 08830(732) 404-0044(800) 310-0849 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prudentmd Llc NPPES

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

PRUDENTMD LLC (NPI 1457524217) is a healthcare organization registered as a primary care in Iselin, New Jersey and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Maitri Patel, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1457524217
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRUDENTMD LLC
Location Address5 DUNDEE AVENUEIselin, NJ 08830-2118
Mailing Address5 Dundee AvenueIselin, NJ 08830-2118 · (732) 404-0044 · Fax (800) 310-0849
Phone(732) 404-0044
Fax(800) 310-0849
Organization SubpartNo
Authorized OfficialMaitri PatelPhysician Owner · (732) 404-0044
Enumeration DateApril 11, 2008
Last NPPES UpdateSeptember 26, 2008
✔ NPI 1457524217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA08134000
5 DUNDEE AVENUE, Iselin, NJ 08830
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN131323NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 31D1091092

Prudentmd LLC · Iselin, NJ
Active · expires Oct 23, 2026
CLIA Number31D1091092
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorMaitri Patel MD
Laboratory Phone(732) 404-0044
Laboratory LocationPrudentmd LLC5 Dundee Ave, Iselin, NJ 08830
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 Prudentmd LLC's NPI number?

The NPI number for Prudentmd LLC is 1457524217. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Prudentmd LLC located?

Prudentmd LLC is located at 5 Dundee Avenue, Iselin, NJ 08830. The listed phone number is (732) 404-0044.

What is Prudentmd LLC's specialty?

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

Does Prudentmd LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1091092) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prudentmd LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Prudentmd LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prudentmd LLC was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.