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PRIMECARE MEDICAL GROUP PA NPI 1669474326


NPI Information

NPI: 1669474326
Provider Name: PRIMECARE MEDICAL GROUP PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
622 GEORGES RD
SUITE 303
NORTH BRUNSWICK, NJ
ZIP 08902
Phone: (732) 745-4994
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PRIMECARE MEDICAL GROUP PA is a family medicine in North Brunswick, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRIMECARE MEDICAL GROUP PA NPI is 1669474326. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

622 GEORGES RD
SUITE 303
NORTH BRUNSWICK, NJ
ZIP 08902-377
Phone: (732) 745-4994
Fax: (732) 745-7044

The provider's authorized official is Bhudev Sharma .
The authorized official title is President and has the following contact phone number (732) 745-4994.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 3/12/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17094604MEDICAIDNEW JERSEY
21669474326MEDICARE PINNEW JERSEY

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: 5/5/2024

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