DRC360, LLC
NPI 1679964795
Family Medicine - Geriatric Medicine in New Providence, NJ
About Drc360, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DRC360, LLC (NPI 1679964795) is a healthcare organization registered as a geriatric medicine in New Providence, New Jersey and active in the NPI registry since February 2015. The organization lists Anthony Richard Cavazos, Owner, 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)
Drc360, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Drc360, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Cedar Grove, NJ 07009
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 Drc360, LLC's NPI number?
The NPI number for Drc360, LLC is 1679964795. It was assigned to this organization in the NPPES registry on February 11, 2015.
Where is Drc360, LLC located?
Drc360, LLC is located at 29 South St, New Providence, NJ 07974. The listed phone number is (973) 452-9078.
What is Drc360, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Drc360, LLC enrolled in Medicare?
Yes. Drc360, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Drc360, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Drc360, LLC, in Family Practice and Podiatry. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Drc360, LLC was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Drc360, Llc · NPI 1679964795
Geriatric Medicine organization in New Providence, New Jersey. Organization record, active in the CMS NPPES registry since February 11, 2015.
## Identity
- **NPI:** 1679964795 (Entity type: Organization)
- **Enumerated:** February 11, 2015
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Anthony Cavazos, OWNER
## Practice location
- **Address:** 29 SOUTH ST, New Providence, NJ 07974-2934
- **Phone:** (973) 452-9078
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Podiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1679964795) · Data from the CMS NPPES public registry.