Primary Care Medical Practice, LLC
Specialist in Woodland Park, New Jersey
1912113002- Practice location
- 1031 Mcbride Ave, Suite D 205, Woodland Park, NJ 07424-2559
- Phone
- 973-237-9055
- Fax
- 973-237-9053
- Last updated
- July 1, 2013
Primary Care Medical Practice, LLC is a healthcare organization based in Woodland Park, NJ. Primary Care Medical Practice, LLC practices in Woodland Park, NJ. The NPI Number for Primary Care Medical Practice, LLC is 1912113002 and holds a License No. MA061762 (NJ). The current practice location address for Primary Care Medical Practice, LLC is 1031 Mcbride Ave, Suite D 205, Woodland Park, NJ 07424-2559 and can be reached out via phone at 973-237-9055 and via fax at 973-237-9053.
Provider Profile Details
- NPI Number
- 1912113002
- Provider Name
- Primary Care Medical Practice, LLC
- Provider Entity Type
- Organization
- Address
- 1031 Mcbride Ave, Suite D 205, Woodland Park, NJ 07424-2559
- Phone Number
- 973-237-9055
- Fax Number
- 973-237-9053
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Samuel Issam Mallouhi, MD · President · 973-237-9055
- Provider Enumeration Date
- May 15, 2007
- Last Update Date
- July 1, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1031 Mcbride Ave
Suite D 205
Woodland Park, NJ 07424-2559 - City
- Woodland Park
- State
- New Jersey
- Zip
- 07424-2559
- Phone Number
- 973-237-9055
- Fax Number
- 973-237-9053
Provider Business Mailing Address Details
- Address
- 1031 Mcbride Ave
Suite D 205
Woodland Park, NJ 07424-2559 - City
- Woodland Park
- State
- NJ
- Zip
- 07424-2559
- Phone Number
- 973-237-9055
- Fax Number
- 973-237-9053
License Information
- License Number
- MA061762
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Woodland Park, NJ
View all Specialists in Woodland Park →Frequently Asked Questions
What is the NPI number of Primary Care Medical Practice, LLC?
The NPI number of Primary Care Medical Practice, LLC is 1912113002. It was assigned on May 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Primary Care Medical Practice, LLC?
Primary Care Medical Practice, LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA061762.
Where does Primary Care Medical Practice, LLC practice?
The practice location is 1031 Mcbride Ave, Suite D 205, Woodland Park, NJ 07424-2559. The office can be reached at 973-237-9055 (phone) or 973-237-9053 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912113002 directly on the NPPES registry website.