NPIMap

Organization Active NPI

Primary Care Partners, LLC

Doing business as East Brunswick Family Practice Associates- Primary Care Partners Affil

  • Family Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1700166501
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE PARTNERS, LLC
Doing business as
East Brunswick Family Practice Associates- Primary Care Partners Affil
Practice address
123 Dunhams Corner Rd
East Brunswick, NJ 08816-3500
Phone
(732) 254-3300
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMARY CARE PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mr. David J. Shulkin, MDNPI 1225012883
Title
Ceo
Phone
(973) 971-5450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

123 Dunhams Corner Rd
East Brunswick, NJ 08816-3500

Mailing address

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

Other names 1

  • East Brunswick Family Practice Associates- Primary Care Partners Affil 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.

National Provider Directory

National Provider Directory
Part of
Primary Care Partners LLC

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1700166501",
    "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": "123 DUNHAMS CORNER RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163500",
            "telephone_number": "732-254-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PARTNERS, LLC",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "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": "973-971-5450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Brunswick Family Practice Associates- Primary Care Partners Affil",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.