PRIME PULSE MEDICAL LLC
NPI 1790619716
Clinic/Center - Primary Care in Jersey City, NJ
About Prime Pulse Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME PULSE MEDICAL LLC (NPI 1790619716) is a healthcare organization registered as a primary care in Jersey City, New Jersey and active in the NPI registry since June 2026. The organization lists Marian Michal, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
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 Pulse Medical 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 Pulse Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pulse Medical LLC's NPI number?
The NPI number for Prime Pulse Medical LLC is 1790619716. It was assigned to this organization in the NPPES registry on June 12, 2026.
Where is Prime Pulse Medical LLC located?
Prime Pulse Medical LLC is located at 840 Bergen Ave, Jersey City, NJ 07306. The listed phone number is (551) 314-4600.
What is Prime Pulse Medical LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prime Pulse Medical LLC enrolled in Medicare?
Yes. Prime Pulse Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Pulse Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prime Pulse Medical 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.
When was this NPI record last updated?
The NPPES record for Prime Pulse Medical LLC was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Prime Pulse Medical Llc · NPI 1790619716
Primary Care organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since June 12, 2026.
## Identity
- **NPI:** 1790619716 (Entity type: Organization)
- **Enumerated:** June 12, 2026
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Marian Michal, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 840 BERGEN AVE, Jersey City, NJ 07306-4507
- **Phone:** (551) 314-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790619716) · Data from the CMS NPPES public registry.