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PRIME INTERNAL MEDICINE
NPI 1588912968
Internal Medicine in Freehold, NJ

Active since August 16, 2012CLIA 31D2046562 · Waiver
901 W MAIN ST, SUITE 104, FREEHOLD, NJ 07728(732) 637-2768 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Internal Medicine NPPES

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

PRIME INTERNAL MEDICINE (NPI 1588912968) is a healthcare organization registered as an internal medicine in Freehold, New Jersey and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Fiolakemi Sowemimo, General Practitioner, as its authorized official.

NPPES Registry Identity

NPI1588912968
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIME INTERNAL MEDICINE
Location Address901 W MAIN ST, SUITE 104Freehold, NJ 07728-2537
Mailing Address901 W Main St, Suite 104Freehold, NJ 07728-2537 · (732) 637-2768
Phone(732) 637-2768
Organization SubpartNo
Authorized OfficialFiolakemi SowemimoGeneral Practitioner · (732) 637-2768
Enumeration DateAugust 16, 2012
✔ NPI 1588912968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08593300
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.
901 W MAIN ST, Freehold, NJ 07728
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Other Identifiers 1

Medicare PIN165453NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 31D2046562

Prime Internal Medicine A Member Of Consensus Health · Freehold, NJ
Active · expires Sep 5, 2026
CLIA Number31D2046562
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorFiolakemi Sowemimo
Laboratory Phone(732) 637-2768
Laboratory LocationPrime Internal Medicine A Member Of Consensus Health901 W Main Street, Medical Arts Bldg Suite 103, Freehold, NJ 07728
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. ANTONIOUS SHERIF FAWZY DO
Internal Medicine
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
CYNTHIA LYNN KINSELLA
Community Health Worker
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 308-0570
DEBORAH A FOLEY FNP-BC
Nurse Practitioner (Family)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 431-2000
AMIT S KHAROD MD
Surgery
901 W MAIN ST, SUITE 107
FREEHOLD, NJ 07728
Monmouth County (732) 308-4202
YEVGAS PRECESION SERVICES
Surgery
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 742-5084
DIANE YACONO NP
Nurse Practitioner (Adult Health)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2674
BARRY FRIEDENBERG M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST, MEDICAL ARTS BUILDING
FREEHOLD, NJ 07728
Monmouth County (732) 462-3302
BOKRAN WON M.D.
Radiology (Diagnostic Radiology)
901 W MAIN ST
FREEHOLD, NJ 07728
Monmouth County (732) 294-2934

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 Internal Medicine's NPI number?

The NPI number for Prime Internal Medicine is 1588912968. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Prime Internal Medicine located?

Prime Internal Medicine is located at 901 W Main St Suite 104, Freehold, NJ 07728. The listed phone number is (732) 637-2768.

What is Prime Internal Medicine's specialty?

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

Does Prime Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2046562) is associated with this NPI, valid through September 5, 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 Internal Medicine was last updated on August 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.