NJ Primary Care Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA070638 Issued in NJ

Legal business name

NJ PRIMARY CARE ASSOCIATES, PC

Practice address

509 Stillwells Corner Rd
Suite # E-8
Freehold, NJ 07728

Phone

(732) 780-2221

Fax

(732) 780-2292

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lalitha Venkat Gumidyala, M.D.NPI 1831160027

Title

Medical Director

Phone

(732) 780-2221

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Lalitha V Gumidyala, MD, MPH

  • Occupational Medicine Physician
  • Bethlehem, PA
  • NPI 1831160027

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740306877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER ROAD",
            "address_2": "SUITE # E-8",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-780-2221",
            "fax_number": "732-780-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD",
            "address_2": "SUITE # E-8",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-780-2221",
            "fax_number": "732-780-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PRIMARY CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUMIDYALA",
        "authorized_official_first_name": "LALITHA",
        "authorized_official_middle_name": "VENKAT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-780-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA070638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Nicoll, PT, DPT
• Danielle Maria Nigro, PA
• Minakshi Nijhawan, MD
• NJ Advanced Surgical Solutions, PC
• NJ Dental Partners One LLC
• NJ Shore Hospitalists LLC
• NLP Behavioral Services LLC
• Noble Hope Counseling, LLC
• Nordstrom Inc & Subsidiaries
• Brianna Nork, OTR/L

• Internal Medicine Physician in Freehold, NJ
• Providers in Freehold, 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.