PRIME PODIATRY LLC
NPI 1851115851
Clinic/Center - Podiatric in Pine Brook, NJ
About Prime Podiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME PODIATRY LLC (NPI 1851115851), doing business as Prime Podiatry, is a healthcare organization registered as a podiatric in Pine Brook, New Jersey and active in the NPI registry since November 2024. The organization lists Elias George Logothetis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Podiatry 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 Podiatry 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 Podiatry LLC's NPI number?
The NPI number for Prime Podiatry LLC is 1851115851. It was assigned to this organization in the NPPES registry on November 14, 2024. The provider is doing business as Prime Podiatry.
Where is Prime Podiatry LLC located?
Prime Podiatry LLC is located at 64 Us Highway 46 Ste 201, Pine Brook, NJ 07058. The listed phone number is (973) 934-9704.
What is Prime Podiatry LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Prime Podiatry LLC enrolled in Medicare?
Yes. Prime Podiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Prime Podiatry 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 Podiatry LLC was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 Podiatry Llc · NPI 1851115851
Podiatric organization in Pine Brook, New Jersey. Organization record, active in the CMS NPPES registry since November 14, 2024.
## Identity
- **NPI:** 1851115851 (Entity type: Organization)
- **Enumerated:** November 14, 2024
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Also known as:** Prime Podiatry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Elias Logothetis, OWNER
## Practice location
- **Address:** 64 US HIGHWAY 46 STE 201, Pine Brook, NJ 07058-4401
- **Phone:** (973) 934-9704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851115851) · Data from the CMS NPPES public registry.