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WARREN PRIMARY CARE CENTER, LLC
NPI 1992264683
Internal Medicine in Hackettstown, NJ

Active since March 13, 2019CLIA 31D0962077 · Waiver
47 ROUTE 46 STE 1, HACKETTSTOWN, NJ 07840(908) 852-8750(908) 852-8820 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Warren Primary Care Center, Llc NPPES

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

WARREN PRIMARY CARE CENTER, LLC (NPI 1992264683) is a healthcare organization registered as an internal medicine in Hackettstown, New Jersey and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Devi P Gollapudi, President, as its authorized official.

NPPES Registry Identity

NPI1992264683
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWARREN PRIMARY CARE CENTER, LLC
Location Address47 ROUTE 46 STE 1Hackettstown, NJ 07840-2642
Mailing Address47 Route 46 Ste 1Hackettstown, NJ 07840-2642 · (908) 852-8750 · Fax (908) 852-8820
Phone(908) 852-8750
Fax(908) 852-8820
Organization SubpartNo
Authorized OfficialDevi P GollapudiPresident · (908) 852-8750
Enumeration DateMarch 13, 2019
Last NPPES UpdateMarch 14, 2019
✔ NPI 1992264683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
47 ROUTE 46 STE 1, Hackettstown, NJ 07840
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Other Identifiers 1

Medicaid7914300NJ

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 31D0962077

Warren Primary Care Center · Hackettstown, NJ
Active · expires Jun 22, 2027
CLIA Number31D0962077
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorDevi P. Gollapudi
Laboratory Phone(908) 852-8750
Laboratory LocationWarren Primary Care Center47 Us Highway 46, Hackettstown, NJ 07840
CLIA data matches this NPI record on: 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 Warren Primary Care Center, LLC's NPI number?

The NPI number for Warren Primary Care Center, LLC is 1992264683. It was assigned to this organization in the NPPES registry on March 13, 2019.

Where is Warren Primary Care Center, LLC located?

Warren Primary Care Center, LLC is located at 47 Route 46 Ste 1, Hackettstown, NJ 07840. The listed phone number is (908) 852-8750.

What is Warren Primary Care Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Warren Primary Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0962077) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Warren Primary Care Center, LLC was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.