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PRIME PODIATRY LLC
NPI 1851115851
Clinic/Center - Podiatric in Pine Brook, NJ

Active since November 14, 2024
64 US HIGHWAY 46 STE 201, PINE BROOK, NJ 07058(973) 934-9704 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2025, Nov 14, 2024 (2 updates tracked since 2024).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Podiatric

About PRIME PODIATRY LLC

This page provides the complete NPI Profile along with additional information for Prime Podiatry Llc, a provider established in Pine Brook, New Jersey operating as a Clinic/center, focusing in podiatric . The healthcare provider is registered in the NPI registry with number 1851115851 assigned on November 2024. The practitioner's primary taxonomy code is 261QP1100X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Elias George Logothetis Dpm (Owner)

NPI
1851115851 Verify this NPI
Provider Name
PRIME PODIATRY LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
64 US HIGHWAY 46 STE 201 PINE BROOK, NJ 07058
Location Phone
(973) 934-9704
Mailing Address
91 ROSELAND AVE UNIT C10 CALDWELL, NJ 07006
Mailing Phone
(973) 934-9704
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2024
Last Update Date
05-19-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Podiatric

Taxonomy Code
261QP1100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ELIAS GEORGE LOGOTHETIS DPM

Authorized Official Title
OWNER
Authorized Official Phone
(973) 934-9704

Reviews for PRIME PODIATRY LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

NORTHERN OAK DERMATOLOGY LLC
Clinic/Center (Medical Specialty)
64 US HIGHWAY 46 STE 201
PINE BROOK, NJ 07058
Morris County (973) 559-3993
ELIAS G LOGOTHETIS DPM
Podiatrist (Foot & Ankle Surgery)
64 US HIGHWAY 46 STE 201
PINE BROOK, NJ 07058
Morris County (973) 995-1901

Frequently Asked Questions

What is PRIME PODIATRY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1851115851, enumerated as an "organization" on November 14, 2024.

Where is the provider located?

The provider is located at 64 US HIGHWAY 46 STE 201 PINE BROOK, NJ 07058 and the phone number is (973) 934-9704.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.