Primary Care Medical Practice, LLC
NPI 1912113002 · Specialist · Woodland Park, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Primary Care Medical Practice, LLC is a Specialist organization in Woodland Park, NJ (NPI 1912113002).
Provider details
- NPI number
- 1912113002
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Samuel Mallouhi, President(973) 237-9055
- License
- MA061762 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-05-15
- Last updated
- 2013-07-01
Frequently asked questions
- What is Primary Care Medical Practice, LLC's NPI number?
- Primary Care Medical Practice, LLC's National Provider Identifier (NPI) is 1912113002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Primary Care Medical Practice, LLC?
- Primary Care Medical Practice, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Primary Care Medical Practice, LLC located?
- Primary Care Medical Practice, LLC's practice location on file with NPPES is 1031 Mcbride Ave, Woodland Park, NJ 07424-2559.
- What is Primary Care Medical Practice, LLC's phone number?
- The practice phone number listed in the NPPES registry for Primary Care Medical Practice, LLC is (973) 237-9055.
- Does Primary Care Medical Practice, LLC accept Medicare?
- Primary Care Medical Practice, LLC 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 Primary Care Medical Practice, LLC?
- The authorized official listed on Primary Care Medical Practice, LLC's NPPES record is Samuel Mallouhi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Primary Care Medical Practice, LLC's NPI active?
- Yes — Primary Care Medical Practice, LLC's NPI (1912113002) is active in the NPPES registry as of the last update on 2013-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.