NPIMap

Organization Active NPI

Compassionate Primary Care LLC

  • Primary Care Clinic/Center
  • Westwood, NJ
National Provider Identifier
1861121774
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMPASSIONATE PRIMARY CARE LLC
Practice address
700 Broadway Ste 136
Westwood, NJ 07675-1674
Phone
(551) 265-4342
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Lakeisha Nicholls, NPNPI 1154407096
Title
Coo/NP
Phone
(551) 265-4342

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

700 Broadway Ste 136
Westwood, NJ 07675-1674

Mailing address

700 Broadway Ste 136
Westwood, NJ 07675-1674
Phone (551) 265-4342

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address DrNicholls@ccompassionateprimarycare.com
Direct Messaging Address drnicholls@compassionateprimarycare.com

National Provider Directory

National Provider Directory

Locations

700 Broadway
Ste 136
Westwood, NJ 07675
Phone (551) 265-4342

Interoperability endpoints

  • Direct secure messaging: drnicholls@ccompassionateprimarycare.com

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1861121774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BROADWAY STE 136",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751674",
            "telephone_number": "551-265-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY STE 136",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751674",
            "telephone_number": "551-265-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLLS",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "COO/NP",
        "authorized_official_telephone_number": "551-265-4342",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrNicholls@ccompassionateprimarycare.com",
            "affiliation": "N",
            "address_1": "700 Broadway Ste 136",
            "city": "Westwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076751674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnicholls@compassionateprimarycare.com",
            "affiliation": "N",
            "address_1": "700 Broadway Ste 136",
            "city": "Westwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076751674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.