Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COMPREHENSIVE PRIMARY CARE LLC
NPI 1972432508
Nurse Practitioner - Gerontology in Freehold, NJ

Active since May 18, 2026CLIA 31D2344908 · Waiver
900 W MAIN ST STE 9, FREEHOLD, NJ 07728(732) 904-9498 Get Directions Write a Review

NPPES record added: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Comprehensive Primary Care Llc NPPES

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

COMPREHENSIVE PRIMARY CARE LLC (NPI 1972432508) is a healthcare organization registered as a gerontology in Freehold, New Jersey and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Salvatore Degennaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1972432508
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameCOMPREHENSIVE PRIMARY CARE LLC
Location Address900 W MAIN ST STE 9Freehold, NJ 07728-2523
Mailing Address900 W Main St Ste 9Freehold, NJ 07728-2523 · (732) 904-9498
Organization SubpartNo
Authorized OfficialSalvatore DegennaroOwner · (732) 904-9498
Enumeration DateMay 18, 2026
Last NPPES UpdateMay 21, 2026
NPPES CertifiedMay 21, 2026
NPI 1972432508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
900 W MAIN ST STE 9, Freehold, NJ 07728

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 31D2344908

Comprehensive Primary Care LLC · Freehold, NJ
Active · expires Jun 1, 2028
CLIA Number31D2344908
Laboratory TypePractitioner Other
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorYosleisy Valdes-Hernandez
Laboratory Phone(732) 904-9498
Laboratory LocationComprehensive Primary Care LLC900 West Main St Suite 9, Freehold, NJ 07728
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Comprehensive Primary Care LLC's NPI number?

The NPI number for Comprehensive Primary Care LLC is 1972432508. It was assigned to this organization in the NPPES registry on May 18, 2026.

Where is Comprehensive Primary Care LLC located?

Comprehensive Primary Care LLC is located at 900 W Main St Ste 9, Freehold, NJ 07728. The listed phone number is (732) 904-9498.

What is Comprehensive Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Does Comprehensive Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2344908) is associated with this NPI, valid through June 1, 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 Comprehensive Primary Care LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.