Golovko Primary Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GOLOVKO PRIMARY CARE LLC

Practice address

17 Fela Dr
Old Bridge, NJ 08857-3534

Phone

(732) 439-4662

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By 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

Lyubomyr Golovko

Title

Apn

Phone

(732) 439-4662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1902719529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FELA DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573534",
            "telephone_number": "732-439-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FELA DR",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573534",
            "telephone_number": "732-439-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLOVKO PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "GOLOVKO",
        "authorized_official_first_name": "LYUBOMYR",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "732-439-4662"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.