PRIMARY CARE AFFILIATES OF NJ, PA
NPI 1639260896
Internal Medicine in Somerdale, NJ
About Primary Care Affiliates Of Nj, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE AFFILIATES OF NJ, PA (NPI 1639260896) is a healthcare organization registered as an internal medicine in Somerdale, New Jersey and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2028 and lists Jayesh Patel, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Affiliates Of Nj, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Primary Care Affiliates Of Nj, PA, 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.
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 31D2269361
Primary Care Affiliatres Of Nj · Somerdale, 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 Primary Care Affiliates Of Nj, PA's NPI number?
The NPI number for Primary Care Affiliates Of Nj, PA is 1639260896. It was assigned to this organization in the NPPES registry on September 27, 2006.
Where is Primary Care Affiliates Of Nj, PA located?
Primary Care Affiliates Of Nj, PA is located at 227 E Somerdale Rd, Somerdale, NJ 08083. The listed phone number is (856) 784-2626.
What is Primary Care Affiliates Of Nj, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Primary Care Affiliates Of Nj, PA enrolled in Medicare?
Yes. Primary Care Affiliates Of Nj, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Affiliates Of Nj, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Primary Care Affiliates Of Nj, PA. 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.
Does Primary Care Affiliates Of Nj, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2269361) is associated with this NPI, valid through September 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Primary Care Affiliates Of Nj, PA was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 Affiliates Of Nj, Pa · NPI 1639260896
Internal Medicine organization in Somerdale, New Jersey. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1639260896 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jayesh Patel, VICE PRESIDENT
## Practice location
- **Address:** 227 E SOMERDALE RD, Somerdale, NJ 08083-1105
- **Phone:** (856) 784-2626 · **Fax:** (856) 784-0375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** July 31, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 051436 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639260896) · Data from the CMS NPPES public registry.