Primary Care Associates of NJ, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA55345 Issued in NJ

Legal business name

PRIMARY CARE ASSOCIATES OF NJ, LLC

Practice address

329 Main Rd
Montville, NJ 07045-9729

Phone

(973) 334-9404

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Cory A. Golloub, MDNPI 1508867235

Title

Owner

Phone

(973) 334-9404

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory Alan Golloub, M.D.

  • Pediatrics Physician
  • Montville, NJ
  • NPI 1508867235

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Mark Kraljevich, APN

  • Family Nurse Practitioner
  • Montville, NJ
  • NPI 1538591052
  Medicare reassignment NPD

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1346231255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459729",
            "telephone_number": "973-334-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES OF NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "GOLLOUB",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-334-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA55345",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA55345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shahar Platt, RN, BSN
• Pompton Eye and Vision Care, L.L.C.
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• Primary Care Partners, LLC
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• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC

• Internal Medicine Physician in Montville, NJ
• Providers in Montville, 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 Mar 13, 2018; 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.