Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care Medical Practice, LLC

Organization Specialist · NPI 1912113002

Primary Care Medical Practice, LLC is a Specialist in Woodland Park, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1031 McBride Ave Ste D 205
Woodland Park, NJ 07424-2559
Phone: (973) 237-9055
Fax: (973) 237-9053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA061762 (NJ)

Record details

NPI number1912113002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Mallouhi — President · (973) 237-9055
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 1, 2013
Mailing address1031 McBride Ave, Suite D 205, Woodland Park, NJ 07424-2559

Other providers in Woodland Park