| Prime Health Group Llc | |
|
208 Lenox Ave # 154 Westfield NJ 07090-5120 | |
| (732) 443-1700 | |
| Not Available |
| Full Name | Prime Health Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 208 Lenox Ave # 154, Westfield, New Jersey |
| Authorized Official Name and Position | Supriya Hosadurga (OWNER) |
| Authorized Official Contact | 9087212153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Health Group Llc 208 Lenox Ave # 154 Westfield NJ 07090-5120 Ph: () - | Prime Health Group Llc 208 Lenox Ave # 154 Westfield NJ 07090-5120 Ph: (732) 443-1700 |
| NPI Number | 1497513246 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 6901244029 |
|---|---|
| Medicare Enrollment ID | O20240412002175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497513246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Attila I Farkas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639114614 PECOS PAC ID: 7517904741 Enrollment ID: I20050411000042 |
| Provider Name | Joseph P Luayon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417999202 PECOS PAC ID: 5193743177 Enrollment ID: I20051108000777 |
| Provider Name | Supriya S Hosadurga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437211109 PECOS PAC ID: 2567462195 Enrollment ID: I20070105000136 |
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