Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669351896 Individual Practitioner Male Practitioner

Larry D Mccullum

Physician Assistant • Green Brook, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Larry Mccullum is a certified Physician Assistant practicing in Green Brook, NJ. With approximately 3 years of clinical experience since completing medical education in 2023, Larry Mccullum delivers high-quality medical care to the local community at 1005 NORTH WASHINGTON AVENUE.

Larry Mccullum accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1005 North Washington Avenue

Green Brook, NJ 08812

Telephone 7329688900
Associated Practice Facility / Clinic
🏢 Medemerge P.a. Facility NPI 1184643132

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Green Brook, NJ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -8.6 yrs vs City Avg
City Avg: 11.6 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Green Brook, NJ (3413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccullum (3 Years) 3 Yrs
Green Brook Specialty Average (11.6 Years) 11.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Merna Mikhail , MD

Family Medicine

NPI 1023631769

Doctor of Medicine (M.D.)

Keron Sinclair , PA-C

Physician Assistant

NPI 1174719934

Physician Assistant (Certified)

Mary Nowak , PA-C

Physician Assistant

NPI 1194889253

Physician Assistant (Certified)

NPI 1255363701

Doctor of Medicine (M.D.)

Marissa Pilitzer , PA-C

Physician Assistant

NPI 1376085266

Physician Assistant (Certified)

Dr. John Pilla , MD

Family Medicine

NPI 1447282660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2025

Registered at 1005 NORTH WASHINGTON AVENUE, GREEN BROOK, NJ 08812 (Tel: 7329688900)

📍
Updated Business Mailing Address September 01, 2025

Registered at 62 MORRIS LANE, PISCATAWAY, NJ 08854 (Tel: 7324251421)

👤
Provider Name / Credentials Updated September 01, 2025

Recorded as LARRY MCCULLUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669351896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2025
Last Update: January 21, 2026
Sole Proprietor: No

Mailing Address

62 Morris Lane

Piscataway, NJ 08854

Phone: 7324251421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.