Comprehensive Primary Care LLC
NPI 1972432508ActiveOrganization· Nurse Practitioner, Gerontology· Freehold, NJ
Nurse Practitioner, Gerontology in Freehold, New Jersey, registered in NPPES in May 2026. The authorized official on file is Salvatore Degennaro, APRN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972432508 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2026 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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