PRIMARY CARE GROUP LLC
NPI 1609421841
Family Medicine in Clark, NJ
About Primary Care Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE GROUP LLC (NPI 1609421841) is a healthcare organization registered as a family medicine in Clark, New Jersey and active in the NPI registry since August 2019. The organization lists Domenica Fantini, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Primary Care Group Llc 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 Primary Care Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice 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.
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 Primary Care Group LLC's NPI number?
The NPI number for Primary Care Group LLC is 1609421841. It was assigned to this organization in the NPPES registry on August 5, 2019.
Where is Primary Care Group LLC located?
Primary Care Group LLC is located at 2 Westfield Ave, Clark, NJ 07066. The listed phone number is (908) 505-5141.
What is Primary Care Group LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Primary Care Group LLC enrolled in Medicare?
Yes. Primary Care Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Primary Care Group LLC, in Family Practice and Nurse Practitioner. 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, 1 practice 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 Primary Care Group LLC was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Primary Care Group Llc · NPI 1609421841
Family Medicine organization in Clark, New Jersey. Organization record, active in the CMS NPPES registry since August 5, 2019.
## Identity
- **NPI:** 1609421841 (Entity type: Organization)
- **Enumerated:** August 5, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Domenica Fantini, PHYSICIAN
## Practice location
- **Address:** 2 WESTFIELD AVE, Clark, NJ 07066-3226
- **Phone:** (908) 505-5141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1609421841) · Data from the CMS NPPES public registry.