| Lifeline Primary Care LLC | |
|
662 Commons Way Bldg I4 Toms River NJ 08755-6431 | |
| (732) 279-3681 | |
| (732) 279-6043 |
| Full Name | Lifeline Primary Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 662 Commons Way Bldg I4, Toms River, New Jersey |
| Authorized Official Name and Position | Palakkumar Kantilal Patel (PHYSICIAN) |
| Authorized Official Contact | 7322793681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Primary Care LLC 662 Commons Way Bldg I4 Toms River NJ 08755-6431 Ph: (732) 279-3681 | Lifeline Primary Care LLC 662 Commons Way Bldg I4 Toms River NJ 08755-6431 Ph: (732) 279-3681 |
| NPI Number | 1770947145 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 09/15/2026 |
| Certification Date | 09/15/2026 |
| Medicare PECOS PAC ID | 7315225919 |
|---|---|
| Medicare Enrollment ID | O20161102002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770947145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA09556300 (New Jersey) | Primary |
| Provider Name | Palakkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053559427 PECOS PAC ID: 7517012446 Enrollment ID: I20150211000266 |
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