DEDICATED PRIMARY CARE LLC
NPI 1497180541
Clinic/Center in Montclair, NJ
About Dedicated Primary Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDICATED PRIMARY CARE LLC (NPI 1497180541) is a healthcare organization registered as a clinic/center in Montclair, New Jersey and active in the NPI registry since September 2013. The organization lists Tianzhong Yang, Primary Care Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dedicated Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dedicated Primary Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Dedicated Primary Care LLC's NPI number?
The NPI number for Dedicated Primary Care LLC is 1497180541. It was assigned to this organization in the NPPES registry on September 9, 2013.
Where is Dedicated Primary Care LLC located?
Dedicated Primary Care LLC is located at 239 Claremont Ave, Montclair, NJ 07042. The listed phone number is (973) 771-3863.
What is Dedicated Primary Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Dedicated Primary Care LLC enrolled in Medicare?
Yes. Dedicated Primary Care LLC is registered in the Medicare PECOS enrollment system.
When is Dedicated Primary Care LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dedicated Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dedicated Primary Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dedicated Primary Care LLC was last updated on September 9, 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.
# Dedicated Primary Care Llc · NPI 1497180541
Clinic/Center organization in Montclair, New Jersey. Organization record, active in the CMS NPPES registry since September 9, 2013.
## Identity
- **NPI:** 1497180541 (Entity type: Organization)
- **Enumerated:** September 9, 2013
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Tianzhong Yang, PRIMARY CARE PHYSICIAN
## Practice location
- **Address:** 239 CLAREMONT AVE, Montclair, NJ 07042-2833
- **Phone:** (973) 771-3863
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1497180541) · Data from the CMS NPPES public registry.