Irvington Family Medicine
Family Medicine in Irvington, New Jersey
1720303621- Practice location
- 852 18TH Ave, Irvington, NJ 07111-2756
- Phone
- 973-373-3000
- Fax
- —
- Last updated
- April 2, 2010
Irvington Family Medicine is a healthcare organization based in Irvington, NJ. Irvington Family Medicine practices in Irvington, NJ. The NPI Number for Irvington Family Medicine is 1720303621 and holds a License No. MA04275 (NJ). The current practice location address for Irvington Family Medicine is 852 18TH Ave, Irvington, NJ 07111-2756 and can be reached out via phone at 973-373-3000.
Provider Profile Details
- NPI Number
- 1720303621
- Provider Name
- Irvington Family Medicine
- Provider Entity Type
- Organization
- Address
- 852 18TH Ave, Irvington, NJ 07111-2756
- Phone Number
- 973-373-3000
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Melloney Jackson · Partner · 973-373-3000
- Provider Enumeration Date
- April 2, 2010
- Last Update Date
- April 2, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 852 18TH Ave
Irvington, NJ 07111-2756 - City
- Irvington
- State
- New Jersey
- Zip
- 07111-2756
- Phone Number
- 973-373-3000
Provider Business Mailing Address Details
- Address
- 12 Krotik Pl
Irvington, NJ 07111-1708 - City
- Irvington
- State
- NJ
- Zip
- 07111-1708
- Phone Number
- 973-373-3000
License Information
- License Number
- MA04275
- License State
- NJ
- 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 Irvington Family Medicine?
The NPI number of Irvington Family Medicine is 1720303621. It was assigned on April 2, 2010 and is currently active in the NPPES registry.
What is the specialty of Irvington Family Medicine?
Irvington Family Medicine is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MA04275.
Where does Irvington Family Medicine practice?
The practice location is 852 18TH Ave, Irvington, NJ 07111-2756. The office can be reached at 973-373-3000 (phone).
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 1720303621 directly on the NPPES registry website.