Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prime Gericare LLC

Organization Internal Medicine Physician · NPI 1417875659

Prime Gericare LLC is an Internal Medicine Physician in Mickleton, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

205 Hopkins Rd
Mickleton, NJ 08056-1273
Phone: (856) 848-8060
Fax: (856) 848-8038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1417875659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Imran Mirza — Owner · (856) 381-9598
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing addressPo Box 69, Mickleton, NJ 08056-0069