Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIFELINE PRIMARY CARE LLC
NPI 1770947145
Clinic/Center - Primary Care in Toms River, NJ

Active since April 11, 2016
662 COMMONS WAY BLDG I4, TOMS RIVER, NJ 08755(732) 279-3681(732) 279-6043 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2026, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Lifeline Primary Care Llc NPPES

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

LIFELINE PRIMARY CARE LLC (NPI 1770947145) is a healthcare organization registered as a primary care in Toms River, New Jersey and active in the NPI registry since April 2016. The organization lists Palakkumar Kantilal Patel, Physician, as its authorized official.

NPPES Registry Identity

NPI1770947145
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFELINE PRIMARY CARE LLC
Location Address662 COMMONS WAY BLDG I4Toms River, NJ 08755-6431
Mailing Address662 Commons Way Bldg I4Toms River, NJ 08755-6431 · (732) 279-3681 · Fax (732) 279-6043
Fax(732) 279-6043
Organization SubpartNo
Authorized OfficialPalakkumar Kantilal PatelPhysician · (732) 279-3681
Enumeration DateApril 11, 2016
Last NPPES UpdateSeptember 15, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1770947145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA09556300
662 COMMONS WAY BLDG I4, Toms River, NJ 08755

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifeline Primary Care Llc 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 Lifeline Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1053559427
662 COMMONS WAY BLDG I4
Toms River, NJ 08755
(732) 279-3681
✔ PECOS✔ Accepts MedicareSame address

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 Lifeline Primary Care LLC's NPI number?

The NPI number for Lifeline Primary Care LLC is 1770947145. It was assigned to this organization in the NPPES registry on April 11, 2016.

Where is Lifeline Primary Care LLC located?

Lifeline Primary Care LLC is located at 662 Commons Way Bldg I4, Toms River, NJ 08755. The listed phone number is (732) 279-3681.

What is Lifeline Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Lifeline Primary Care LLC enrolled in Medicare?

Yes. Lifeline Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifeline Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lifeline 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 Lifeline Primary Care LLC was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.