PRIMARY CARE PARTNERS, LLC (NPI# 1235522194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235522194 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PARTNERS, LLC |
| Other Organization Name | BLOOMRIDGE PEDIATRICS-PCP AFFILIATE |
| Practice Address |
399 Hoover Ave Suite 5 Bloomfield NJ 07003-3924 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 9737489500 |
| Practice Fax Number | 9737489492 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | DR. DAVID SHULKIN (PRESIDENT) |
| Authorized Official Telephone | 8567823300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bloomridge Pediatrics-PCP Affiliate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235569708 | Primary Care Partners, LLC | Family Medicine | 925 Us Highway 202 Ste 202, Neshanic Station, NJ 08853-3503 | 2013-11-20 |
| 1871923342 | Primary Care Partners, LLC | Pediatrics | 1050 Galloping Hill Rd Ste 200, Union, NJ 07083-7980 | 2013-11-20 |
| 1477988236 | Primary Care Partners, LLC | Family Medicine | 431 Us Highway 22 E, Whitehouse Station, NJ 08889-3427 | 2013-09-11 |
| 1083053532 | Primary Care Partners, LLC | Pediatrics | 364 Parsippany Rd, Suite 9b, Parsippany, NJ 07054-5110 | 2013-06-18 |
| 1669719357 | Primary Care Partners, LLC | Clinic/Center | 3514 Gentilly Blvd, New Orleans, LA 70122-4908 | 2013-01-15 |
| 1245604701 | Primary Care Partners, LLC | Pediatrics | 430 Morris Ave, Elizabeth, NJ 07208-3609 | 2015-11-20 |
| 1659742963 | Primary Care Partners, LLC | Internal Medicine | 59 E Mill Rd, Long Valley, NJ 07853-6215 | 2015-10-13 |
| 1164808440 | Primary Care Partners, LLC | Family Medicine | 137 Main Rd, Montville, NJ 07045-9231 | 2015-08-10 |
| 1770969438 | Primary Care Partners, LLC | Internal Medicine | 171 Ridgedale Ave, Suite 1e, Florham Park, NJ 07932-1764 | 2015-08-05 |
| 1508245085 | Primary Care Partners, LLC | Pediatrics | 16 Pocono Rd, Suite 214, Denville, NJ 07834-2901 | 2015-05-29 |
| Street Address |
399 HOOVER AVE SUITE 5 |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376582734 | Lori Ann Colyer-aversa | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2006-06-04 |
| 1992091573 | Mounzer Yacoub | Obstetrics & Gynecology | 399 Hoover Ave, Suite #1, Bloomfield, NJ 07003 | 2011-06-22 |
| 1144523390 | Shavon Leigh Jackson-michel | Naturopath | 399 Hoover Ave, Suite 8, Bloomfield, NJ 07003-3924 | 2010-12-09 |
| 1508097122 | Mikyle Shakira Byrd-vaughn | Naturopath | 399 Hoover Ave, Suite 9, Bloomfield, NJ 07003-3924 | 2009-07-30 |
| 1053585612 | Brookside Family Dental Corp | Dentist | 399 Hoover Ave, Suite 1, Bloomfield, NJ 07003 | 2008-04-15 |
| 1871789396 | Melissa Brinton | Social Worker | 399 Hoover Ave, Bloomfield, NJ 07003-3924 | 2007-09-18 |
| 1972638070 | Kinda Hanna Yacoub | Dentist | 399 Hoover Ave, Suite #1, Bloomfield, NJ 07003 | 2007-02-22 |
| 1356429807 | Maria M Yerovi | Pediatrics | 399 Hoover Ave, Suite 4, Bloomfield, NJ 07003 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| 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 |
|---|---|---|---|---|
| 1669881397 | Sandra Kellum | Pediatrics | 24 Yantecaw Ave, Bloomfield, NJ 07003-2835 | 2014-08-06 |
| 1154576049 | Sean A Flynn | Pediatrics | 299 Glenwood Ave, 2nd Floor, Suite 6, Bloomfield, NJ 07003-2445 | 2008-11-19 |
| 1114177540 | Ruchi Mehta | Pediatrics | 106 Broad Street, Bloomfield, NJ 07003 | 2008-09-22 |
| 1316113376 | Sarah Elizabeth Flemming | Pediatrics | 55 N Judge St, Bloomfield, IN 47424 | 2008-04-30 |
| 1598863649 | Guo-pao Cheng | Pediatrics | 160 Bloomfield Ave, Bloomfield, NJ 07003-5620 | 2006-09-20 |
| 1316059033 | Madhavi Shah | Pediatrics | 199 Broad Street, Suite 1b, Bloomfield, NJ 07003 | 2006-08-31 |
| 1629091798 | Lawrence Rifkin | Pediatrics | 57 Jolley Dr Ste B, Bloomfield, CT 06002-3062 | 2006-07-26 |
| 1376582734 | Lori Ann Colyer-aversa | Pediatrics | 399 Hoover Ave, Suite 5, Bloomfield, NJ 07003-3924 | 2006-06-04 |
| 1396716767 | Edna Retiracion Lopez-maslak | Pediatrics | 206 Belleville Ave Ste 202, Bloomfield, NJ 07003-3589 | 2006-02-01 |
| 1356730915 | Primary Care Partners, LLC | Pediatrics | 329 Belleville Ave, 2nd Floor, Bloomfield, NJ 07003-3600 | 2015-01-20 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.