Active NPIOrganization

Family Medical Group Services LLC

Specialist in East Orange, New Jersey

NPI Number1194033613
Practice location
134 Evergreen Pl Ste 501, East Orange, NJ 07018-2010
Fax
862-520-3895
Last updated
August 2, 2012

Family Medical Group Services LLC is a healthcare organization based in East Orange, NJ. Family Medical Group Services LLC practices in East Orange, NJ. The NPI Number for Family Medical Group Services LLC is 1194033613. The current practice location address for Family Medical Group Services LLC is 134 Evergreen Pl Ste 501, East Orange, NJ 07018-2010 and can be reached out via phone at 862-520-3902 and via fax at 862-520-3895.

Provider Profile Details

NPI Number
1194033613
Provider Name
Family Medical Group Services LLC
Provider Entity Type
Organization
Address
134 Evergreen Pl Ste 501, East Orange, NJ 07018-2010
Phone Number
862-520-3902
Fax Number
862-520-3895
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Mr. Clarence Stevenson · Director Of Operations · 862-520-3902
Provider Enumeration Date
September 17, 2010
Last Update Date
August 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Evergreen Pl Ste 501
East Orange, NJ 07018-2010
Zip
07018-2010
Phone Number
862-520-3902
Fax Number
862-520-3895
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
134 Evergreen Pl Ste 501
East Orange, NJ 07018-2010
City
East Orange
State
NJ
Zip
07018-2010
Phone Number
862-520-3902
Fax Number
862-520-3895

License Information

License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Medical Group Services LLC?

The NPI number of Family Medical Group Services LLC is 1194033613. It was assigned on September 17, 2010 and is currently active in the NPPES registry.

What is the specialty of Family Medical Group Services LLC?

Family Medical Group Services LLC is registered under the primary taxonomy Specialist (code 174400000X).

Where does Family Medical Group Services LLC practice?

The practice location is 134 Evergreen Pl Ste 501, East Orange, NJ 07018-2010. The office can be reached at 862-520-3902 (phone) or 862-520-3895 (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 1194033613 directly on the NPPES registry website.

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