Active NPI
Village Primary Care LLC
- Clinic/Center
- Milford, DE
National Provider Identifier
1043075526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 08D2313363 | Village Primary Care | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Milford, DE
- NPI 1962001180
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.