| Village Primary Care LLC | |
|
21 W Clarke Ave Ste 1410 Milford DE 19963-1857 | |
| (732) 262-2255 | |
| (732) 262-3332 |
| Full Name | Village Primary Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 W Clarke Ave Ste 1410, Milford, Delaware |
| Authorized Official Name and Position | Meir Gelley (MEMBER) |
| Authorized Official Contact | 7322622255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Primary Care LLC 260 Chambers Bridge Rd Brick NJ 08723-2809 Ph: (732) 262-2255 | Village Primary Care LLC 21 W Clarke Ave Ste 1410 Milford DE 19963-1857 Ph: (732) 262-2255 |
| NPI Number | 1043075526 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Medicare PECOS PAC ID | 9234570458 |
|---|---|
| Medicare Enrollment ID | O20240517002969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043075526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Kaitlin Marie Fielder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962001180 PECOS PAC ID: 1658787171 Enrollment ID: I20210309000571 |
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