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

Prime Healthcare Services-St Michaels Medical Group LLC

Organization Internal Medicine Physician · NPI 1326494378

Prime Healthcare Services-St Michaels Medical Group LLC is an Internal Medicine Physician in Newark, New Jersey. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
5
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

111 Central Ave
Newark, NJ 07102-1909
Phone: (973) 854-3592
Fax: (973) 877-2434
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Psychiatry Physician Taxonomy 2084P0800X
Surgery Physician Taxonomy 208600000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1326494378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Doan — Chief Compliance Counsel · (909) 235-4307
NPI enumeratedMay 9, 2016
Last updated in NPPESMay 12, 2016
Mailing address111 Central Ave, Newark, NJ 07102-1909

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