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K PRIMARY CARE AND MEDICAL NUTRITION CENTER
NPI 1477948362
Internal Medicine in New Providence, NJ

Active since March 30, 2015CLIA 31D2099749 · Waiver
571 CENTRAL AVE, SUITE 104, NEW PROVIDENCE, NJ 07974(908) 206-4676 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About K Primary Care And Medical Nutrition Center NPPES

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

K PRIMARY CARE AND MEDICAL NUTRITION CENTER (NPI 1477948362) is a healthcare organization registered as an internal medicine in New Providence, New Jersey and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Maureen Doherty, Credentialing Contact, as its authorized official.

NPPES Registry Identity

NPI1477948362
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameK PRIMARY CARE AND MEDICAL NUTRITION CENTER
Location Address571 CENTRAL AVE, SUITE 104New Providence, NJ 07974-1547
Mailing Address571 Central Ave, Suite 104New Providence, NJ 07974-1547 · (908) 206-4676
Phone(908) 206-4676
Organization SubpartNo
Authorized OfficialMaureen DohertyCredentialing Contact · (908) 206-4676
Enumeration DateMarch 30, 2015
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1477948362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
571 CENTRAL AVE, New Providence, NJ 07974
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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 31D2099749

K Primary Care And Medical Nutrition Center, LLC · New Providence, NJ
Active · expires Jul 30, 2027
CLIA Number31D2099749
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorKavita Kewalramani
Laboratory Phone(908) 206-4676
Laboratory LocationK Primary Care And Medical Nutrition Center, LLC1265 Springfield Ave, New Providence, NJ 07974
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 5

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

CAROL ISRAEL MCKISSOCK APN
Nurse Practitioner (Adult Health)
571 CENTRAL AVE
NEW PROVIDENCE, NJ 07974
Union County (908) 464-7300
ASSOCIATES IN CARDIOVASCULAR DISEASE NEW PROVIDENCE
Non-Pharmacy Dispensing Site
571 CENTRAL AVE, SUITE 115
NEW PROVIDENCE, NJ 07974
Union County (908) 464-4200
CENTRAL PHYSICAL THERAPY, LLC
Physical Therapist
571 CENTRAL AVE, STE# 106
NEW PROVIDENCE, NJ 07974
Union County (516) 770-2055
MS. LORRI B. KATZ RD, MA
Dietitian, Registered
571 CENTRAL AVE, SUITE 112
NEW PROVIDENCE, NJ 07974
Union County (973) 984-0662
NEW PROVIDENCE INTERNAL MEDICINE ASSOCIATES
Internal Medicine
571 CENTRAL AVE, SUITE 112
NEW PROVIDENCE, NJ 07974
Union County (908) 464-7300

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 K Primary Care And Medical Nutrition Center's NPI number?

The NPI number for K Primary Care And Medical Nutrition Center is 1477948362. It was assigned to this organization in the NPPES registry on March 30, 2015.

Where is K Primary Care And Medical Nutrition Center located?

K Primary Care And Medical Nutrition Center is located at 571 Central Ave Suite 104, New Providence, NJ 07974. The listed phone number is (908) 206-4676.

What is K Primary Care And Medical Nutrition Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does K Primary Care And Medical Nutrition Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2099749) is associated with this NPI, valid through July 30, 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 K Primary Care And Medical Nutrition Center was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.