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CENTRAL JERSEY PRIMARY CARE LLC NPI 1144825910


NPI Information

NPI: 1144825910
Provider Name: CENTRAL JERSEY PRIMARY CARE, LLC

Other Name: CENTRAL JERSEY PRIMARY CARE, LLC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2108600

Address:
84 VERONICA AVE
SOMERSET, NJ
ZIP 08873
Phone: (732) 992-6700
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CENTRAL JERSEY PRIMARY CARE, LLC is a primary care clinic center in Somerset, NJ. CENTRAL JERSEY PRIMARY CARE, LLC NPI is 1144825910. The provider is registered as an organization entity type.
The provider Other Name Is Central Jersey Primary Care, Llc.

The provider's business location address is:

84 VERONICA AVE
SOMERSET, NJ
ZIP 08873-529
Phone: (732) 992-6700

The provider's authorized official is Markintosh Barthelemy .
The authorized official title is Owner and has the following contact phone number (732) 455-8444.

The CLIA number assigned to this NPI record is 31D2108600 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2020 and was last updated on 12/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.