NPIMap

Organization Active NPI

Primary Care Partners, LLC

Doing business as Internal Medicine of Vernon-Primary Care Partners Affiliate

  • Internal Medicine Physician
  • Vernon, NJ
National Provider Identifier
1508297680
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRIMARY CARE PARTNERS, LLC
Doing business as
Internal Medicine of Vernon-Primary Care Partners Affiliate
Practice address
212 State RT 94
Suite 1-C
Vernon, NJ 07462-3328
Phone
(973) 823-8800
Fax
(973) 823-8811
NPI assigned
Nov 27, 2013
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMARY CARE PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

212 State RT 94
Suite 1-C
Vernon, NJ 07462-3328

Mailing address

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

Other names 1

  • Internal Medicine of Vernon-Primary Care Partners Affiliate Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111108000032 NJ Part B Supplier - Clinic/Group Practice 2860665809 Receives reassigned benefits from 117 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parsippany, NJ; Martinsville, NJ; Neshanic Station, NJ; Mountain Lakes, NJ; Morristown, NJ; Morris Plains, NJ; Montclair, NJ; Pluckemin, NJ…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
31D2070770Internal Medicine of Vernon - Primary Care Partner212 State Route 94, Suite 1 C, Vernon, NJ 07462Certificate of waiverDec 22, 2027

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

Locations

239 Lakeview Ave
Clifton, NJ 07011
Phone (973) 253-9666

16 Pocono Rd
Ste 110
Denville, NJ 07834
Phone (973) 292-6800

346 South Ave
Fanwood, NJ 07023
Phone (908) 889-1660

191 US Highway 206
Ste 5
Flanders, NJ 07836
Phone (973) 584-0045

29 Columbia Tpke
Ste 201
Florham Park, NJ 07932
Phone (973) 410-0422

5 Hastings SQ
Hackettstown, NJ 07840

170 Kinnelon Rd
Rm 28
Kinnelon, NJ 07405
Phone (973) 838-1717

2130 Millburn Ave
Ste C7
Maplewood, NJ 07040
Phone (973) 843-7149

73 Park St
Montclair, NJ 07042
Phone (973) 746-7375

115 US Highway 46
Ste A3
Mountain Lks, NJ 07046
Phone (973) 331-0200

925 US Highway 202
Neshanic Station, NJ 08853
Phone (908) 788-9068

900 Lanidex Plz
Ste 200
Parsippany, NJ 07054
Phone (973) 627-6129

Practitioners & affiliated clinicians

Practitioners 118

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.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1508297680",
    "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": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STATE RT 94",
            "address_2": "SUITE 1-C",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623328",
            "telephone_number": "973-823-8800",
            "fax_number": "973-823-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PARTNERS, LLC",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "SHULKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-782-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine of Vernon-Primary Care Partners Affiliate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.