1. Home
  2. Directory
  3. New Jersey
  4. Elmer
  5. Family Medicine
  6. NPI Profile

ELMER FAMILY PRACTICE,PC
NPI 1275571184
Family Medicine in Elmer, NJ

Active since June 03, 2006CLIA 31D0120850 · Microscopy
475 ROUTE 40, ELMER, NJ 08318(856) 358-0770(856) 358-0108 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Elmer Family Practice,pc NPPES

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

ELMER FAMILY PRACTICE,PC (NPI 1275571184) is a healthcare organization registered as a family medicine in Elmer, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through March 21, 2028 and lists Judy Koslick, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275571184
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELMER FAMILY PRACTICE,PC
Location Address475 ROUTE 40Elmer, NJ 08318-2532
Mailing AddressPo Box 577Elmer, NJ 08318-0577 · (856) 358-0770 · Fax (856) 358-0108
Phone(856) 358-0770
Fax(856) 358-0108
Organization SubpartNo
Authorized OfficialJudy KoslickBusiness Office Manager · (856) 358-0770
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 13, 2013
✔ NPI 1275571184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
475 ROUTE 40, Elmer, NJ 08318
Open in Google Maps ↗

Other Identifiers 4

Medicaid5174007NJ
Other4584666NJ · Aetna Id Number
Other2124194001NJ · Amerihealth Id Number
Medicare ID-Type Unspecified067915NJ · Medicare Id Number

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 for Provider-Performed Microscopy Procedures (PPMP) 31D0120850

Elmer Family Practice, PC · Elmer, NJ
Active · expires Mar 21, 2028
CLIA Number31D0120850
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorGerard Ventrella MD
Laboratory Phone(856) 358-0770
Laboratory LocationElmer Family Practice, PC475 Route 40, Elmer, NJ 08318
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

PHILIP ELGAWLI D.O.
Family Medicine
475 ROUTE 40
ELMER, NJ 08318
Salem County (856) 358-0770
DR. GERARD VENTRELLA M.D.
Family Medicine
475 ROUTE 40
ELMER, NJ 08318
Salem County (856) 358-0770

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 Elmer Family Practice,pc's NPI number?

The NPI number for Elmer Family Practice,pc is 1275571184. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Elmer Family Practice,pc located?

Elmer Family Practice,pc is located at 475 Route 40, Elmer, NJ 08318. The listed phone number is (856) 358-0770.

What is Elmer Family Practice,pc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Elmer Family Practice,pc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 31D0120850) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elmer Family Practice,pc was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.