NPIMap

Organization Active NPI

Primary Care Partners, LLC

  • Pediatrics Physician
  • Union, NJ
National Provider Identifier
1871923342
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06525600 Issued in NJ
Legal business name
PRIMARY CARE PARTNERS, LLC
Practice address
1050 Galloping Hill Rd Ste 200
Union, NJ 07083-7980
Phone
(908) 688-9900
Fax
(908) 688-9939
NPI assigned
Nov 20, 2013
Organization subpart
Yes
Parent organization
PRIMARY CARE PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA06525600 NJ Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA06708000 NJ
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA03335900 NJ
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA05009900 NJ
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 25MA06711400 NJ

Addresses

Primary practice location

1050 Galloping Hill Rd Ste 200
Union, NJ 07083-7980

Mailing address

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

Other names 1

  • Union Pediatric Medical Group-Primary Care Partners Affiliate Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1871923342",
    "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": "856-504-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GALLOPING HILL RD STE 200",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837980",
            "telephone_number": "908-688-9900",
            "fax_number": "908-688-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PARTNERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PARTNERS, LLC",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "SHULKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-782-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06525600",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06708000",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA03335900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05009900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06711400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Pediatric Medical Group-Primary Care Partners Affiliate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.