Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELIC PRIMARY MEDICINE LLC
NPI 1477199446
Family Medicine - Adult Medicine in Pleasantville, NJ

Active since November 25, 2019
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232(854) 600-9684(609) 415-1875 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2026, Mar 29, 2023, Oct 18, 2021 and 1 more (4 updates tracked since 2019).

About Angelic Primary Medicine Llc NPPES

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

ANGELIC PRIMARY MEDICINE LLC (NPI 1477199446) is a healthcare organization registered as an adult medicine in Pleasantville, New Jersey and active in the NPI registry since November 2019. The organization lists Janet Gibson, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1477199446
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameANGELIC PRIMARY MEDICINE LLC
Location Address8025 BLACK HORSE PIKE STE 501Pleasantville, NJ 08232-2967
Mailing AddressPo Box 313Linwood, NJ 08221-0313 · (854) 600-9684 · Fax (609) 415-1875
Fax(609) 415-1875
Organization SubpartNo
Authorized OfficialJanet GibsonOwner/director · (609) 515-4759
Enumeration DateNovember 25, 2019
Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1477199446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
8025 BLACK HORSE PIKE STE 501, Pleasantville, NJ 08232

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelic Primary Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Angelic Primary Medicine LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1043601156
8025 BLACK HORSE PIKE STE 501
Pleasantville, NJ 08232
(854) 600-9684
✔ PECOSSame address
Nurse Practitioner
NPI 1568993806
8025 BLACK HORSE PIKE STE 501
Pleasantville, NJ 08232
(609) 464-1135
✔ PECOSSame address
Nurse Practitioner
NPI 1972828531
8025 BLACK HORSE PIKE STE 501
Pleasantville, NJ 08232
(609) 822-7979
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114258613
307 ROSEMARIE DR
Egg Harbor Township, NJ 08234
(609) 788-4576
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1447582408
2 STONE HARBOR BLVD
Cape May Court House, NJ 08210
(609) 463-2183
✔ PECOS✔ Accepts Medicare27 mi
Geriatric Medicine
NPI 1659328987
1740 BAYSHORE ROAD
Villas, NJ 08251
(609) 886-4441
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1124764063
1400 SUNDROP CT
Williamstown, NJ 08094
(973) 855-8121
✔ PECOS37 mi
Nurse Practitioner
NPI 1487106290
4510 CHURCH RD
Mount Laurel, NJ 08054
(856) 439-0060
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1093892507
3111 ROUTE 38 STE 11 PMB 120
Mount Laurel, NJ 08054
(609) 261-5755
✔ PECOS✔ Accepts Medicare46 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Angelic Primary Medicine LLC's NPI number?

The NPI number for Angelic Primary Medicine LLC is 1477199446. It was assigned to this organization in the NPPES registry on November 25, 2019.

Where is Angelic Primary Medicine LLC located?

Angelic Primary Medicine LLC is located at 8025 Black Horse Pike Ste 501, Pleasantville, NJ 08232. The listed phone number is (854) 600-9684.

What is Angelic Primary Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Angelic Primary Medicine LLC enrolled in Medicare?

Yes. Angelic Primary Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Angelic Primary Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Angelic Primary Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and Geriatric Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Angelic Primary Medicine LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.