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Primary Care Medical Practice, LLC

Specialist in Woodland Park, NJ · enumerated 2007 · authorized official Samuel Mallouhi, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912113002

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Registry record

Entity type Organization (Type 2)
Legal business name Primary Care Medical Practice, LLC
Practice address 1031 Mcbride Ave, Suite D 205, Woodland Park, NJ, 07424
Fax (973) 237-9053
Enumeration date May 15, 2007
Last updated in NPPES Jul 1, 2013

Taxonomy & classification

174400000X Specialist Other Service Providers · License MA061762 (NJ) Primary

Authorized official

Name Samuel Mallouhi
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Primary Care Medical Practice, LLC located?
The practice location on file with NPPES is in Woodland Park, NJ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-01. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-01.