PRIMARY CARE PROVIDERS, LLC (NPI# 1871068726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871068726 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PROVIDERS, LLC |
| Practice Address |
2640 Hwy 70, Bldg.5 Suite 102b Manasquan NJ 08736 |
| Mailing Address |
2640 Highway 70 Building 6b Manasquan NJ 08736-2610 |
| Practice Telephone | 7322920100 |
| Practice Fax Number | 7322920900 |
| Mailing Telephone | 7322920100 |
| Mailing Fax Number | 7322920900 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MISS CORINA M IANCULOVICI (CEO) |
| Authorized Official Telephone | 7322920100 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
2640 HWY 70, BLDG.5 SUITE 102B |
| City | MANASQUAN |
| State | NJ |
| Zip Code | 08736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740767359 | Shannon Weaver | Midwife | 2671 Hwy 70, Manasquan, NJ 08736 | 2018-07-26 |
| 1639661887 | Savvymed | Durable Medical Equipment & Medical Supplies | 2517 Highway 35 Ste 103, Manasquan, NJ 08736 | 2018-06-04 |
| 1396241618 | Vicki Curran | Counselor | 147 Union Lane, Suite 202, Manasquan, NJ 08736 | 2018-04-04 |
| 1700304086 | Michael Joseph Panella | Psychologist | 2414 Route 34, Suite 103, Manasquan, NJ 08736 | 2017-09-06 |
| 1720513153 | Michael P Keenan | Health Educator | 93 Atlantic Ave, Manasquan, NJ 08736 | 2017-04-24 |
| 1285069245 | Victoria Helen Tancsak | Counselor | 200 Atlantic Ave Suite G, Manasquan, NJ 08736 | 2013-09-10 |
| 1427497841 | Sushma Patel | Optometrist | 2516 Highway 35 Ste 104, Manasquan, NJ 08736 | 2013-06-19 |
| 1972852523 | Adam Wesley Thomas | Counselor | 2519 Route 35 South, #m203, Manasquan, NJ 08736 | 2012-08-29 |
| 1710259635 | George Francis Larkin I | Dentist | 2517 St. Hwy. 35, Bldg. G Suite202, Manasquan, NJ 08736 | 2012-02-08 |
| 1841569654 | Jonathan A. Keller | Pharmacist | 2433 Highway #34, Shoprite Pharmacy, Manasquan, NJ 08736 | 2011-12-22 |
| Find all providers in zip 08736 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1740842889 | Rutherford Swim Association Inc. | Clinic/Center | 56 Elliott Pl, Rutherford, NJ 07070-1965 | 2019-06-28 |
| 1336657105 | Schafer Sports Center | Clinic/Center | 5 Graphics Dr, Ewing, NJ 08626 | 2018-01-16 |
| 1902315484 | Cape Counseling Services, Inc | Clinic/Center | 1046 Route 47 S Bldg B, Rio Grande, NJ 08242-1506 | 2017-09-27 |
| 1184149163 | Hudson Hospital Opco LLC | Clinic/Center | 1901 West St, Union City, NJ 07087-3375 | 2017-08-10 |
| 1750768552 | Royal Aquarius Empire | Clinic/Center | 287 Cheesequake Road, Bldg 1b, Suite # 6807, Parlin, NJ 08859 | 2015-04-30 |
| 1588911143 | Nutrition Girls LLC | Clinic/Center | 3 Thames Drive, Freehold, NJ 07728 | 2012-08-13 |
| 1619267697 | Maria Lourdes D. Aguilera | Clinic/Center | 5301 Broadway Avenue, West New York, NJ 07094 | 2011-04-12 |
| 1346552841 | Staffingplus Inc | Clinic/Center | 40-09 Berdan Ave, Fair Lawn, NJ 07410 | 2010-07-13 |
| 1265750269 | The Newstead Property Group LLC | Clinic/Center | 72 Speir Dr, South Orange, NJ 07079-1049 | 2010-05-14 |
| 1740422591 | Community Health Care, Inc | Clinic/Center | 75 Wescott Station Rd, Fairton, NJ 08302 | 2009-03-25 |
| 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.