Organization Active NPI

Primary Care and Preventive Medicine

  • Internal Medicine Physician
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1881611879
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA71623 Issued in NJ
Legal business name
PRIMARY CARE AND PREVENTIVE MEDICINE
Practice address
1387 Route 539 Unit 1B
Little Egg Harbor TWP, NJ 08087-9804
Phone
(609) 294-5000
Fax
(609) 294-5115
NPI assigned
Jul 16, 2006
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Dr. Anupama J Rao, M.D.NPI 1417918392
Title
President
Phone
(609) 294-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA71623 NJ Primary

Addresses

Primary practice location

1387 Route 539 Unit 1B
Little Egg Harbor TWP, NJ 08087-9804

Mailing address

31 Coleridge Dr
Marlboro, NJ 07746-2148

Other identifiers 1

IdentifierTypeStateIssuer
8439303MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060815000304 NJ Part B Supplier - Clinic/Group Practice 0345243259 Receives reassigned benefits from 1 practitioner
Practice locations: Little Egg Harbor TWP, NJ; Manahawkin, NJ

National Provider Directory

National Provider Directory

Locations

1479 Route 539
Unit 1B
Little Egg Harbor Twp, NJ 08087
Phone (609) 294-5000

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1881611879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COLERIDGE DR",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 ROUTE 539 UNIT 1B",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080879804",
            "telephone_number": "609-294-5000",
            "fax_number": "609-294-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE AND PREVENTIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "ANUPAMA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-294-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA71623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8439303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.