PRIMARY CARE PARTNERS LLC (NPI# 1770984528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770984528 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PARTNERS LLC |
| Other Organization Name | PINE BROOK MEDICAL CENTER-PRIMARY CARE PARTNERS AFFILIATE |
| Practice Address |
170 Changebridge Rd Suite A3 Montville NJ 07045-9115 |
| Mailing Address |
Po Box 2403 Voorhees NJ 08043-6403 |
| Practice Telephone | 9738083200 |
| Practice Fax Number | 9738083202 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pine Brook Medical 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 |
| 1174927305 | Primary Care Partners LLC | Pediatrics | 1911 Us Highway 46, Ledgewood, NJ 07852-9758 | 2014-10-17 |
| 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 |
| 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 |
170 CHANGEBRIDGE RD SUITE A3 |
| City | MONTVILLE |
| State | NJ |
| Zip Code | 07045-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295780286 | Berdj Feredjian | Dentist | 170 Changebridge Rd, Suite B-33, Montville, NJ 07045-9115 | 2006-05-24 |
| 1457749095 | Jaclyn Festa | Counselor | 170 Changebridge Rd, B3-2, Montville, NJ 07045-9115 | 2015-01-06 |
| 1043631294 | Pareen Raj Lapsiwala | Family Medicine | 170 Changebridge Rd, Suite C-3, Montville, NJ 07045-9115 | 2013-12-13 |
| 1538406574 | Mary C Kannankeril Md.,pa | Psychiatry & Neurology | 170 Changebridge Rd, Suite B 3-4, Montville, NJ 07045-9115 | 2013-01-10 |
| 1760757884 | Changebridge Medical Associates, Pa | Non-Pharmacy Dispensing Site | 170 Changebridge Rd, C-3, Montville, NJ 07045-9115 | 2012-03-22 |
| 1699044305 | Kowalski Family Dental, P.C. | Dentist | 170 Changebridge Rd, Suite A2, Montville, NJ 07045-9115 | 2011-12-26 |
| 1457640534 | Roxanne N Kiupe | Massage Therapist | 170 Changebridge Rd, Unit A4 Suite 3, Montville, NJ 07045-9115 | 2011-03-29 |
| 1043473309 | Sandra Hoenig | Family Medicine | 170 Changebridge Rd, Suite C3, Montville, NJ 07045-9115 | 2008-07-08 |
| 1295993475 | Mary Jo Reid | Social Worker | 170 Changebridge Rd, Suite B 3-2, Montville, NJ 07045-9115 | 2008-05-24 |
| 1316145030 | Lisa Labrunda | Social Worker | 170 Changebridge Rd, Bldg B#, Montville, NJ 07045-9115 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780160655 | Jkf Consulting | Psychologist | 120 Ridge Dr, Montville, NJ 07045 | 2018-07-13 |
| 1215466651 | Raymond Scott Giordano | Home Health Aide | 150 River Road Suite F1, Montville, NJ 07045 | 2017-06-08 |
| 1275942732 | Falcon Medical Corp | Ambulance | 10 Joan Dr, Montville, NJ 07045 | 2014-08-10 |
| 1467875708 | Alyssa Puorro | Chiropractor | 20 Cambray Road, Montville, NJ 07045 | 2014-01-22 |
| 1376985085 | Peaceful Journey | Counselor | 328 Changebridge Road, Montville, NJ 07045 | 2013-07-23 |
| 1457639908 | Ellen Marie Ruban | Social Worker | 390 Main Rd., Montville, NJ 07045 | 2011-08-02 |
| 1215251228 | Hetal Sojitra | Physical Therapist | 115 Horseneck Rd Ste 5, Montville, NJ 07045 | 2010-03-19 |
| 1447452693 | Tara Ann Gieger | Dental Hygienist | 140 River Road, Suite J-2, Montville, NJ 07045 | 2007-06-01 |
| 1023219565 | Joyce Levine Stern | Social Worker | 170 Changebridge Road, Suite C2, Montville, NJ 07045 | 2007-05-31 |
| 1174683478 | Montville Pharmacy Nj Corp | Pharmacy | 185 Changebridge Road, Montville, NJ 07045 | 2006-12-10 |
| Find all providers in zip 07045 | ||||
| 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 |
|---|---|---|---|---|
| 1942424783 | Changebridge Medical Associates Pa | Family Medicine | 170 Changebridge Rd., Suite C-3, Montville, NJ 07045-9112 | 2007-04-12 |
| 1518054899 | Joseph Gargano | Family Medicine | 137 Main Rd, Suite 200, Montville, NJ 07045-9231 | 2006-10-06 |
| 1770670101 | William Keating | Family Medicine | 22 Lenape Drive, Montville, NJ 07045 | 2006-10-06 |
| 1891808572 | Thomas J. Stack | Family Medicine | 170 Changebridge Rd Bldg A3, Montville, NJ 07045-8802 | 2006-08-16 |
| 1053353995 | Ernest John Aquilio | Family Medicine | 74 Horseneck Rd, Montville, NJ 07045-9303 | 2006-06-12 |
| 1043703200 | Ryan Coelho | Family Medicine | 170 Changebridge Rd Bldg C3, Montville, NJ 07045-9112 | 2018-06-12 |
| 1164808440 | Primary Care Partners, LLC | Family Medicine | 137 Main Rd, Montville, NJ 07045-9231 | 2015-08-10 |
| 1639566086 | Annie Lin | Family Medicine | 329 Main Rd, Montville, NJ 07045-9729 | 2015-04-23 |
| 1043631294 | Pareen Raj Lapsiwala | Family Medicine | 170 Changebridge Rd, Suite C-3, Montville, NJ 07045-9115 | 2013-12-13 |
| 1407119704 | Primary Care Partners, LLC | Family Medicine | 350 Main Rd, Suite 103, Montville, NJ 07045-9222 | 2012-06-21 |
| Find all providers in MONTVILLE | ||||
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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.