PRIMARY CARE PARTNERS LLC (NPI# 1174927305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174927305 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PARTNERS LLC |
| Other Organization Name | PEDIATRIC AND ADOLESCENT CENTER- PRIMARY CARE PARTNERS AFFILIATE |
| Practice Address |
1911 Us Highway 46 Ledgewood NJ 07852-9758 |
| Mailing Address |
Po Box 2403 Voorhees NJ 08043-6403 |
| Practice Telephone | 9733478500 |
| Practice Fax Number | 9733477320 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | DR. DAVID J SHULKIN (CEO) |
| Authorized Official Telephone | 8567823300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRIMARY CARE PARTNERS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric and Adolescent Center- Primary Care Partners Affiliate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007516 | Primary Care Partners LLC | Pediatrics | 5 Cold Hill Rd S Ste 6, Mendham, NJ 07945-3207 | 2014-06-10 |
| 1497176663 | Primary Care Partners LLC | Pediatrics | 254 Route 202-206 North, Pluckemin, NJ 07978 | 2013-12-13 |
| 1174954283 | Primary Care Partners LLC | Pediatrics | 91 S Jefferson Rd Ste 200, Whippany, NJ 07981-1037 | 2013-11-29 |
| 1770034118 | Primary Care Partners LLC | Exclusive Provider Organization | 8181 Nw 36th St, Suite 23-24, Doral, FL 33166-6671 | 2016-10-20 |
| 1831592310 | Primary Care Partners LLC | Pediatrics | 799 Bloomfield Ave, Suite 304, Verona, NJ 07044-1367 | 2014-09-29 |
| 1780085530 | Primary Care Partners LLC | Pediatrics | 1129 Bloomfield Ave, West Caldwell, NJ 07006-7127 | 2014-09-11 |
| 1770984528 | Primary Care Partners LLC | Family Medicine | 170 Changebridge Rd, Suite A3, Montville, NJ 07045-9115 | 2014-09-11 |
| 1336540186 | Primary Care Partners LLC | Family Medicine | 500 Greenwich St, Belvidere, NJ 07823-1409 | 2014-09-11 |
| 1295141547 | Primary Care Partners LLC | Family Medicine | 16 Pocono Rd, Suite 110, Denville, NJ 07834-2901 | 2014-07-08 |
| 1083028203 | Primary Care Partners LLC | Pediatrics | 2839 Rte 10 E, Suite 101, Morris Plains, NJ 07950-1200 | 2014-06-16 |
| Street Address |
1911 US HIGHWAY 46 |
| City | LEDGEWOOD |
| State | NJ |
| Zip Code | 07852-9758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174563761 | Leonard J Grossman | Pediatrics | 1911 Us Highway 46, Ledgewood, NJ 07852 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396677 | Shivaniben Shah | Pharmacist | 461 Rt 10 A100, Ledgewood, NJ 07852 | 2020-11-06 |
| 1730798851 | Wal-mart Stores East, Lp | Technician/Technologist | 461 Rt 10 Suite A100, Ledgewood, NJ 07852 | 2020-07-24 |
| 1700262466 | Danielle Gaeta | Optometrist | 410 State Route 10 West, Suite 202, Ledgewood, NJ 07852 | 2015-08-05 |
| 1639550551 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Woods Edge Dr, Ledgewood, NJ 07852 | 2015-06-16 |
| 1407190523 | Ryan Mark Stenvall | Dentist | 410 Route 10 West, Suite 209, Ledgewood, NJ 07852 | 2012-11-15 |
| 1194020834 | Wanda Ivette Lopez-rodriguez | Nurse Practitioner | 1105 Route 46, Ledgewood, NJ 07852 | 2011-01-11 |
| 1285949750 | Walter Beckford Od | Optometrist | 461 Route 10 Suite 29, Ledgewood, NJ 07852 | 2010-08-09 |
| 1558537233 | Leonard J. Grossman. Md | Exclusive Provider Organization | 1911 Route 46, Ledgewood, NJ 07852 | 2008-05-02 |
| 1164520987 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1105 Rte 46, Ledgewood, NJ 07852 | 2006-09-20 |
| 1548275530 | Walgreen Co | Pharmacy | 1131 Route 46, Ledgewood, NJ 07852 | 2006-07-29 |
| Find all providers in zip 07852 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174563761 | Leonard J Grossman | Pediatrics | 1911 Us Highway 46, Ledgewood, NJ 07852 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332831 | Alafia Medical Associates LLC | Pediatrics | 88 High St, Montclair, NJ 07042-2415 | 2020-10-07 |
| 1205443611 | Advocare, LLC | Pediatrics | 225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 | 2020-09-29 |
| 1205440401 | Panda Pediatrics LLC | Pediatrics | 2 Hart Ct, Titusville, NJ 08560-1519 | 2020-09-04 |
| 1346853546 | Nkpeds PC | Pediatrics | 126 Madison Ave, Hasbrouck Heights, NJ 07604-1309 | 2020-08-26 |
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1992316715 | Advocare, LLC | Pediatrics | 241 Molnar Dr Ste 202, Elmwood Park, NJ 07407-3200 | 2020-08-14 |
| 1841808516 | Brianna Ayala | Pediatrics | 402 Lakewood Rd, New Egypt, NJ 08533-2113 | 2020-07-20 |
| 1306465349 | Little Big Pediatrics | Pediatrics | 521 Van Houten Ave Ste 1a, Clifton, NJ 07013-2190 | 2020-04-09 |
| 1154954139 | Advocare, LLC | Pediatrics | 6611 Winchester Ave, Ventnor City, NJ 08406-2159 | 2020-02-18 |
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.