K Primary Care and Medical Nutrition Center
NPI 1477948362 · Internal Medicine Physician · New Providence, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
K Primary Care and Medical Nutrition Center is a Internal Medicine Physician organization in New Providence, NJ (NPI 1477948362).
Provider details
- NPI number
- 1477948362
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maureen Doherty, Credentialing Contact(908) 206-4676
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2015-09-01
Frequently asked questions
- What is K Primary Care and Medical Nutrition Center's NPI number?
- K Primary Care and Medical Nutrition Center's National Provider Identifier (NPI) is 1477948362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is K Primary Care and Medical Nutrition Center?
- K Primary Care and Medical Nutrition Center is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is K Primary Care and Medical Nutrition Center located?
- K Primary Care and Medical Nutrition Center's practice location on file with NPPES is 571 Central Ave, New Providence, NJ 07974-1547.
- What is K Primary Care and Medical Nutrition Center's phone number?
- The practice phone number listed in the NPPES registry for K Primary Care and Medical Nutrition Center is (908) 206-4676.
- Does K Primary Care and Medical Nutrition Center accept Medicare?
- K Primary Care and Medical Nutrition Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for K Primary Care and Medical Nutrition Center?
- The authorized official listed on K Primary Care and Medical Nutrition Center's NPPES record is Maureen Doherty, Credentialing Contact. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is K Primary Care and Medical Nutrition Center's NPI active?
- Yes — K Primary Care and Medical Nutrition Center's NPI (1477948362) is active in the NPPES registry as of the last update on 2015-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.