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BLOOMRIDGE PEDIATRICS-PCP AFFILIATE
NPI 1235522194
Pediatrics in Bloomfield, NJ

Active since March 16, 2015CLIA 31D1015957 · Waiver
399 HOOVER AVE, SUITE 5, BLOOMFIELD, NJ 07003(973) 748-9500(973) 748-9492 Get Directions Write a Review

NPPES record last updated: March 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bloomridge Pediatrics-pcp Affiliate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMRIDGE PEDIATRICS-PCP AFFILIATE (NPI 1235522194) is a healthcare organization registered as a pediatrics in Bloomfield, New Jersey and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists David Shulkin, President, as its authorized official.

NPPES Registry Identity

NPI1235522194
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePRIMARY CARE PARTNERS, LLC
Location Address399 HOOVER AVE, SUITE 5Bloomfield, NJ 07003-3924
Mailing Address402 Lippincott DrMarlton, NJ 08053-4112 · (856) 782-3300 · Fax (856) 504-8029
Phone(973) 748-9500
Fax(973) 748-9492
Organization SubpartNo
Authorized OfficialDavid ShulkinPresident · (856) 782-3300
Enumeration DateMarch 16, 2015
✔ NPI 1235522194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
399 HOOVER AVE, Bloomfield, NJ 07003
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Other Names 1

Doing Business AsBloomridge Pediatrics-pcp Affiliate

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1015957

Bloomridge Pediatrics Primary Care Partners Affiliate · Bloomfield, NJ
Active · expires Aug 17, 2027
CLIA Number31D1015957
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorLori A. Colyer-Aversa
Laboratory Phone(973) 748-9500
Laboratory LocationBloomridge Pediatrics Primary Care Partners Affiliate1310 Broad Street Unit B, Bloomfield, NJ 07003
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKSIDE FAMILY DENTAL CORP
Dentist (General Practice)
399 HOOVER AVE, SUITE 1
BLOOMFIELD, NJ 07003
Essex County (973) 566-6161
DR. SHAVON LEIGH JACKSON-MICHEL N.D.
Naturopath
399 HOOVER AVE, SUITE 8
BLOOMFIELD, NJ 07003
Essex County (973) 544-8399
MARIA M YEROVI MD
Pediatrics
399 HOOVER AVE, SUITE 4
BLOOMFIELD, NJ 07003
Essex County (973) 429-2120
LORI ANN COLYER-AVERSA M.D.
Pediatrics
399 HOOVER AVE, SUITE 5
BLOOMFIELD, NJ 07003
Essex County (973) 748-9500
DR. MIKYLE SHAKIRA BYRD-VAUGHN ND
Naturopath
399 HOOVER AVE, SUITE 9
BLOOMFIELD, NJ 07003
Essex County (973) 429-7878
MRS. MELISSA BRINTON M.S.W, LCSW
Social Worker (Clinical)
399 HOOVER AVE
BLOOMFIELD, NJ 07003
Essex County (973) 680-9085
KINDA HANNA YACOUB DDS
Dentist
399 HOOVER AVE, SUITE #1
BLOOMFIELD, NJ 07003
Essex County (973) 566-6161
MOUNZER YACOUB M.D.
Obstetrics & Gynecology
399 HOOVER AVE, SUITE #1
BLOOMFIELD, NJ 07003
Essex County (201) 572-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Care Partners, LLC's NPI number?

The NPI number for Primary Care Partners, LLC is 1235522194. It was assigned to this organization in the NPPES registry on March 16, 2015. The provider is doing business as Bloomridge Pediatrics-Pcp Affiliate.

Where is Primary Care Partners, LLC located?

Primary Care Partners, LLC is located at 399 Hoover Ave Suite 5, Bloomfield, NJ 07003. The listed phone number is (973) 748-9500.

What is Primary Care Partners, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Primary Care Partners, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1015957) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Care Partners, LLC was last updated on March 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.