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

Prime Healthcare Services - St Michaels LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1568825545

Prime Healthcare Services - St Michaels LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Central Ave
Newark, NJ 07102-1909
Phone: (973) 877-2853
Fax: (973) 877-5367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 10713 (NJ)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Taxonomy 261QE0700X · Licence 10713 (NJ)
Psychiatric Hospital Unit Taxonomy 273R00000X · Licence 10713 (NJ)

Record details

NPI number1568825545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Doan — Chief Compliance Counsel · (909) 235-4307
Other names Saint Michael'S Medical Center
NPI enumeratedMarch 29, 2016
Last updated in NPPESMarch 29, 2016
Mailing address111 Central Ave, Newark, NJ 07102-1909

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