NPPES file of Aug 9, 2026

Larry D. McCullum

Physician Assistant · Green Brook, NJ

Larry D. McCullum is a physician assistant with a practice address in Green Brook, New Jersey, and NPI 1669351896, issued on Sep 1, 2025. Check the license with the New Jersey board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1669351896
Name
Larry D. McCullum
Primary taxonomy
Physician Assistant 363A00000X
Practice location
1005 North Washington Avenue, Green Brook, NJ 08812
Phone
(732) 968-8900
Enumerated
Sep 1, 2025
Record last updated
Jan 21, 2026
Medicare enrollment
Enrolled (PECOS I20260129001181); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Larry D. McCullum in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New Jersey board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Larry D. McCullum among 3,393 physician assistant records in New Jersey

Larry D. McCullum is one of 3,393 physician assistant records with a practice address in New Jersey. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 86% of them.

  • NPI issued2025 · 86% of these records are older, 6% newer
  • In a Medicare fileNo · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2023 · median 2019 among the 2,168 with a school on file
  • Record last updated2026 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

16 physician assistant records list a practice address in Green Brook

They are 16 of the 88 NPPES records with a practice address in Green Brook, and 3,393 physician assistant records in New Jersey. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physician assistant records with the nearest ZIP codes

  1. Bilal Bajwa, PAGreen Brook, NJ 088121518368257
  2. Lauren Barroqueiro, PA-CGreen Brook, NJ 088121306197652
  3. Michael Cisko, PAGreen Brook, NJ 088121871536870
  4. Ryan Conover, PACGreen Brook, NJ 088121730296302
  5. Jean Covino, MPA PA CGreen Brook, NJ 088121689781114
  6. Mary Nowak, PACGreen Brook, NJ 088121194889253
  7. Karishma PatelGreen Brook, NJ 088121689126179
  8. Shama PatelDunellen, NJ 088121770180135

Common questions

What is Larry D. McCullum's NPI number?

Larry D. McCullum's National Provider Identifier (NPI) is 1669351896, issued on Sep 1, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Larry D. McCullum located?

The NPPES record lists a practice address at 1005 North Washington Avenue, Green Brook, NJ, 08812. Phone: (732) 968-8900. Providers update this record themselves, so call before visiting.

How can I verify Larry D. McCullum's license?

Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.