NPIMap

Organization Active NPI

Primary Care Partners, LLC

  • Family Medicine Physician
  • Neshanic Station, NJ
National Provider Identifier
1235569708
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04549000 Issued in NJ
Legal business name
PRIMARY CARE PARTNERS, LLC
Doing business as
Pleasant Run Family Physicians- Primary Care Partners Affiliate
Practice address
925 US Highway 202 Ste 202
Neshanic Station, NJ 08853-3503
Phone
(908) 788-9468
Fax
(908) 788-5720
NPI assigned
Nov 20, 2013
Organization subpart
Yes
Parent organization
PRIMARY CARE PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Dr. David Shulkin, MD
Title
Ceo
Phone
(856) 782-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA04549000 NJ Primary

Addresses

Primary practice location

925 US Highway 202 Ste 202
Neshanic Station, NJ 08853-3503

Mailing address

PO Box 2403
Voorhees, NJ 08043-6403
Phone (856) 782-3300

Other names 1

  • Pleasant Run Family Physicians- Primary Care Partners Affiliate Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Primary Care Partners LLC44 organizations share this tax ID, including this one
Part of
Primary Care Partners LLC

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1235569708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2403",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080436403",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 US HIGHWAY 202 STE 202",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "088533503",
            "telephone_number": "908-788-9468",
            "fax_number": "908-788-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PARTNERS, LLC",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "SHULKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-782-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04549000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Run Family Physicians- Primary Care Partners Affiliate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neshanic Station, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.