SHORE PRIMARY CARE, P.C.
NPI 1477613057
Internal Medicine in Neptune, NJ
About Shore Primary Care, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHORE PRIMARY CARE, P.C. (NPI 1477613057) is a healthcare organization registered as an internal medicine in Neptune, New Jersey and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Alan Carl Klein, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shore Primary Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Shore Primary Care, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 31D0114950
Shore Primary Care PC · Neptune, NJFrequently 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 Shore Primary Care, P.C.'s NPI number?
The NPI number for Shore Primary Care, P.C. is 1477613057. It was assigned to this organization in the NPPES registry on December 12, 2006.
Where is Shore Primary Care, P.C. located?
Shore Primary Care, P.C. is located at 1944 Corlies Ave Suite #103, Neptune, NJ 07753. The listed phone number is (732) 774-2336.
What is Shore Primary Care, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shore Primary Care, P.C. enrolled in Medicare?
Yes. Shore Primary Care, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shore Primary Care, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Shore Primary Care, P.C.. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shore Primary Care, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0114950) is associated with this NPI, valid through April 11, 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 Shore Primary Care, P.C. was last updated on May 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shore Primary Care, P.c. · NPI 1477613057
Internal Medicine organization in Neptune, New Jersey. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1477613057 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Alan Klein, PRESIDENT
## Practice location
- **Address:** 1944 CORLIES AVE, SUITE #103, Neptune, NJ 07753-4862
- **Phone:** (732) 774-2336 · **Fax:** (732) 774-2337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2011
- **Other identifiers:** Medicaid 8466505 (NJ); Medicare PIN 044883 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477613057) · Data from the CMS NPPES public registry.