Family Legacy Medical Care, PA
Family Medicine in Elizabeth, New Jersey
1043704810- Practice location
- 115 Jefferson Ave, Elizabeth, NJ 07201-2417
- Phone
- 908-351-6663
- Fax
- 908-351-1760
- Last updated
- January 19, 2019
Family Legacy Medical Care, PA is a healthcare organization based in Elizabeth, NJ. Family Legacy Medical Care, PA practices in Elizabeth, NJ. The NPI Number for Family Legacy Medical Care, PA is 1043704810. The current practice location address for Family Legacy Medical Care, PA is 115 Jefferson Ave, Elizabeth, NJ 07201-2417 and can be reached out via phone at 908-351-6663 and via fax at 908-351-1760.
Provider Profile Details
- NPI Number
- 1043704810
- Provider Name
- Family Legacy Medical Care, PA
- Provider Entity Type
- Organization
- Address
- 115 Jefferson Ave, Elizabeth, NJ 07201-2417
- Phone Number
- 908-351-6663
- Fax Number
- 908-351-1760
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Pascale Ferdinand, MD · Physician · 908-351-6663
- Provider Enumeration Date
- June 15, 2018
- Last Update Date
- January 19, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Jefferson Ave
Elizabeth, NJ 07201-2417 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07201-2417
- Phone Number
- 908-351-6663
- Fax Number
- 908-351-1760
Provider Business Mailing Address Details
- Address
- 115 Jefferson Ave
Elizabeth, NJ 07201-2417 - City
- Elizabeth
- State
- NJ
- Zip
- 07201-2417
- Phone Number
- 908-351-6663
- Fax Number
- 908-351-1760
License Information
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Family Legacy Medical Care, PA?
The NPI number of Family Legacy Medical Care, PA is 1043704810. It was assigned on June 15, 2018 and is currently active in the NPPES registry.
What is the specialty of Family Legacy Medical Care, PA?
Family Legacy Medical Care, PA is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Family Legacy Medical Care, PA practice?
The practice location is 115 Jefferson Ave, Elizabeth, NJ 07201-2417. The office can be reached at 908-351-6663 (phone) or 908-351-1760 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043704810 directly on the NPPES registry website.