PRIMARY CARE PARTNERS, LLC (NPI# 1669814141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669814141 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PARTNERS, LLC |
| Other Organization Name | ADVANCED PRIMARY CARE- PRIMARY CARE PARTNERS AFFILIATE |
| Practice Address |
346 South Ave Fanwood NJ 07023-1373 |
| Mailing Address |
Po Box 2403 Voorhees NJ 08043-6403 |
| Practice Telephone | 9088898700 |
| Practice Fax Number | 9088897799 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | DR. DAVID J SHULKIN (CEO) |
| Authorized Official Telephone | 9739717165 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Primary Care- Primary Care Partners 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 |
346 SOUTH AVE |
| City | FANWOOD |
| State | NJ |
| Zip Code | 07023-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407846173 | Niteen S Jamdar | Internal Medicine | 346 South Ave, Suite 5, Fanwood, NJ 07023-1373 | 2005-10-25 |
| 1720593288 | Laura M Diaz | Pediatrics | 346 South Ave, Fanwood, NJ 07023-1373 | 2017-12-06 |
| 1700232816 | Josie Lee | Registered Nurse | 346 South Ave, Suite 4, Fanwood, NJ 07023-1373 | 2016-05-06 |
| 1346672763 | Lauren Daniels | Acupuncturist | 346 South Ave, Suite 4, Fanwood, NJ 07023-1373 | 2013-08-08 |
| 1851735963 | Advanced Primary Care | Clinic/Center | 346 South Ave, Fanwood, NJ 07023-1373 | 2013-04-19 |
| 1407033624 | Warren E. Kaplan, Dpm | Podiatrist | 346 South Ave, Fanwood, NJ 07023-1373 | 2008-01-30 |
| 1437345238 | William Francis Ricciani | Dentist | 346 South Ave, Suite 7, Fanwood, NJ 07023-1373 | 2007-09-14 |
| 1821173717 | Phillip Bushinger | Dentist | 346 South Ave, Suite 8, Fanwood, NJ 07023-1373 | 2006-10-26 |
| 1316030208 | Warren E Kaplan | Podiatrist | 346 South Ave, Fanwood, NJ 07023-1373 | 2006-10-02 |
| 1346257508 | Joseph A Scalia | Family Medicine | 346 South Ave, Suite 6, Fanwood, NJ 07023 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578910303 | Jessica Furino | Counselor | 141 South Avenue, Suite 103, Fanwood, NJ 07023 | 2016-05-23 |
| 1518392299 | Jaime Lauren | Social Worker | 141 South Ave Ste 7, Fanwood, NJ 07023 | 2013-09-12 |
| 1497998207 | Jennifer R Sullivan | Speech-Language Pathologist | 161 Herbert Ave, Fanwood, NJ 07023 | 2009-04-08 |
| 1265654800 | Laura A Jarmer | Physical Therapist | 313 South Avenue, Fanwood, NJ 07023 | 2007-05-03 |
| 1225259138 | Domenic Monaco | Dentist | 346 South Ave. Suite 7, Fanwood, NJ 07023 | 2007-05-01 |
| 1356866230 | Katheryne Wall | Occupational Therapist | 274 South Ave, Fanwood, NJ 07023 | 2017-08-11 |
| 1124334420 | Kimberly Jayne Lindland Crawford | Occupational Therapist | 313 South Ave, Fanwood, NJ 07023 | 2010-08-24 |
| 1619057122 | Lawrence Hernandez | Physical Therapist | 313 South Ave, Suite #205 Panther Pt and Sports Medicine, Fanwood, NJ 07023 | 2006-10-17 |
| 1619349925 | Kendra Dickerson | Behavioral Analyst | 95 Farley Ave, Fanwood, NJ 07023-1004 | 2015-10-26 |
| 1063058659 | Kathleen Wood | Behavior Technician | 95 Farley Ave, Fanwood, NJ 07023-1004 | 2019-11-19 |
| Find all providers in zip 07023 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508893199 | Douglas A. Ballan | Family Medicine | 45 Elm Ave, This Is Doctor's Home; There Is No Office., Fanwood, NJ 07023-1203 | 2006-06-27 |
| 1114170834 | House Calls of Nj | Family Medicine | 45 Elm Ave, Fanwood, NJ 07023-1203 | 2008-10-25 |
| 1932304235 | Suburban Medical Group, P,a. | Family Medicine | 282 South Ave, Suite 102, Fanwood, NJ 07023-1372 | 2007-06-18 |
| 1346257508 | Joseph A Scalia | Family Medicine | 346 South Ave, Suite 6, Fanwood, NJ 07023 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| 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.