Provider Demographics
NPI:1093854424
Name:MORRIS COUNTY PRIMARY CARE, L.L.C.
Entity Type:Organization
Organization Name:MORRIS COUNTY PRIMARY CARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:H. PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-292-5600
Mailing Address - Street 1:2839 ROUTE 10 EAST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1200
Mailing Address - Country:US
Mailing Address - Phone:973-292-5600
Mailing Address - Fax:973-292-6435
Practice Address - Street 1:2839 ROUTE 10 EAST
Practice Address - Street 2:SUITE 101
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-1200
Practice Address - Country:US
Practice Address - Phone:973-292-5600
Practice Address - Fax:973-292-6435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06413600207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8182906Medicaid
NJ055601Medicare ID - Type UnspecifiedGROUP NUMBER
NJ8182906Medicaid
NJ011752QDEMedicare ID - Type UnspecifiedSUFFIX