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EATONTOWN PRIMARY CARE, LLC
NPI 1902092281
Specialist in Eatontown, NJ

Active since September 19, 2007CLIA 31D1052759 · Waiver
117 STATE ROUTE 35, EATONTOWN, NJ 07724(732) 542-4411(732) 542-1070 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eatontown Primary Care, Llc NPPES

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

EATONTOWN PRIMARY CARE, LLC (NPI 1902092281) is a healthcare organization registered as a specialist in Eatontown, New Jersey and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Manar H Hanna, Md, as its authorized official.

NPPES Registry Identity

NPI1902092281
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEATONTOWN PRIMARY CARE, LLC
Location Address117 STATE ROUTE 35Eatontown, NJ 07724-1885
Mailing Address117 State Route 35Eatontown, NJ 07724-1885
Phone(732) 542-4411
Fax(732) 542-1070
Organization SubpartNo
Authorized OfficialManar H HannaMd · (732) 542-4411
Enumeration DateSeptember 19, 2007
Last NPPES UpdateJanuary 25, 2011
✔ NPI 1902092281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA07738500
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
117 STATE ROUTE 35, Eatontown, NJ 07724
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Other Identifiers 2

Other099326NJ · Medicare Group Number
Medicare UPINI50581NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 31D1052759

Eatontown Primary Care, LLC · Eatontown, NJ
Active · expires Apr 3, 2028
CLIA Number31D1052759
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorManar Hanna
Laboratory Phone(732) 542-4411
Laboratory LocationEatontown Primary Care, LLC117 State Route 35, Eatontown, NJ 07724
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADHA SINGH
Counselor
117 STATE ROUTE 35, SUITE 2
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888
DR. JORDAN L KOVACS DC
Chiropractor
117 STATE ROUTE 35, SUITE 2
EATONTOWN, NJ 07724
Monmouth County (732) 389-2800
DR. MARIELLE RECHO M.D.
Internal Medicine
117 STATE ROUTE 35
EATONTOWN, NJ 07724
Monmouth County (732) 542-4411
DR. MANAR HANNA MD
Internal Medicine
117 STATE ROUTE 35
EATONTOWN, NJ 07724
Monmouth County (732) 542-4411
MAHER HANNA D.D.S
Dentist
117 STATE ROUTE 35
EATONTOWN, NJ 07724
Monmouth County (973) 931-2358
MEGAN SIMKOVICH RD
Dietitian, Registered
117 STATE ROUTE 35, SUITE 2
EATONTOWN, NJ 07724
Monmouth County (732) 982-2888

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 Eatontown Primary Care, LLC's NPI number?

The NPI number for Eatontown Primary Care, LLC is 1902092281. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Eatontown Primary Care, LLC located?

Eatontown Primary Care, LLC is located at 117 State Route 35, Eatontown, NJ 07724. The listed phone number is (732) 542-4411.

What is Eatontown Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Eatontown Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1052759) is associated with this NPI, valid through April 3, 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 Eatontown Primary Care, LLC was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.