Primary Care Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA0378890 Issued in NJ

Legal business name

PRIMARY CARE MEDICAL LLC

Practice address

4630 US Highway 9
Howell, NJ 07731-3319

Phone

(732) 370-0320

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose G Gonzalez, MD

Title

Medical Doctor

Phone

(732) 370-0320

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093848939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313319",
            "telephone_number": "732-370-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313319",
            "telephone_number": "732-370-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "732-370-0320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA0378890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3973808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suresh Shanker Pitchumoni, M.D.
• Tracey J Podolsky, MPT, CLT-LANA
• Maria Polizzi, MD
• Jamie Ponticello
• Powerful Journey Healing
• Nicole Proetto
• Kathleen Prybylski, R.N., IBCLC
• Peter Jan Pudlo, LPC
• Lauren Pusz, PT, DPT
• Stacie Pypiak, M.S., CCC-SLP

• Internal Medicine Physician in Howell, NJ
• Providers in Howell, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.