Larry Mccullum
NPI 1669351896 · Physician Assistant · Green Brook, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larry Mccullum is a Physician Assistant provider in Green Brook, NJ (NPI 1669351896).
Provider details
- NPI number
- 1669351896
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
- 2025-09-01
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Larry Mccullum's NPI number?
- Larry Mccullum's National Provider Identifier (NPI) is 1669351896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Mccullum's specialty?
- Larry Mccullum is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Larry Mccullum located?
- Larry Mccullum's practice location on file with NPPES is 1005 North Washington Avenue, Green Brook, NJ 08812.
- What is Larry Mccullum's phone number?
- The practice phone number listed in the NPPES registry for Larry Mccullum is (732) 968-8900.
- Does Larry Mccullum accept Medicare?
- Larry Mccullum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larry Mccullum's NPI active?
- Yes — Larry Mccullum's NPI (1669351896) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.