Organization Active NPI

Primary Housecall Providers, LLC

  • Adult Health Nurse Practitioner
  • Egg Harbor Township, NJ
National Provider Identifier
1942440540
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00030600 Issued in NJ
Legal business name
PRIMARY HOUSECALL PROVIDERS, LLC
Practice address
106 Anita Dr
Egg Harbor Township, NJ 08234-7522
Phone
(609) 432-5417
Fax
(609) 788-8111
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mrs. Denise S Trumbauer, APN,C
Title
Owner
Phone
(609) 432-5417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X 26NJ00030600 NJ Primary

Addresses

Primary practice location

106 Anita Dr
Egg Harbor Township, NJ 08234-7522

Mailing address

106 Anita Dr
Egg Harbor Township, NJ 08234-7522
Phone (609) 432-5417

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1942440540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ANITA DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347522",
            "telephone_number": "609-432-5417",
            "fax_number": "609-788-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ANITA DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347522",
            "telephone_number": "609-432-5417",
            "fax_number": "609-788-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HOUSECALL PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "TRUMBAUER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-432-5417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN,C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00030600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.