Warren Primary Care Center, LLC
NPI 1992264683ActiveOrganization· Internal Medicine· Hackettstown, NJ
Internal Medicine in Hackettstown, New Jersey, registered in NPPES in March 2019. The authorized official on file is Devi P. Gollapudi, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992264683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2019 |
| Last updated in NPPES | Mar 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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