Organization Active NPI

Village Primary Care LLC

  • Clinic/Center
  • Milford, DE
National Provider Identifier
1043075526
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VILLAGE PRIMARY CARE LLC
Practice address
21 W Clarke Ave Ste 1410
Milford, DE 19963-1857
Phone
(732) 262-2255
Fax
(732) 262-3332
NPI assigned
Feb 14, 2024
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meir Gelley
Title
Member
Phone
(732) 262-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

21 W Clarke Ave Ste 1410
Milford, DE 19963-1857

Mailing address

260 Chambers Bridge Rd
Brick, NJ 08723-2809
Phone (732) 262-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240517002969 DE Part B Supplier - Clinic/Group Practice 9234570458 Receives reassigned benefits from 1 practitioner
Practice locations: Milford, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2313363Village Primary Care21 Clarke Avenue, Suite1410, Milford, DE 19963Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Locations

21 W Clarke Ave
Ste 1410
Milford, DE 19963
Phone (302) 467-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1043075526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CHAMBERS BRIDGE RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087232809",
            "telephone_number": "732-262-2255",
            "fax_number": "732-262-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CLARKE AVE STE 1410",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631857",
            "telephone_number": "732-262-2255",
            "fax_number": "732-262-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "GELLEY",
        "authorized_official_first_name": "MEIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-262-2255"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.