Active NPIOrganization

Family Physician, LLC

Family Medicine in Ridgewood, New Jersey

NPI Number1912956905
Practice location
106 Prospect St, Ridgewood, NJ 07450-4433
Fax
201-689-1935
Last updated
August 22, 2020

Family Physician, LLC is a healthcare organization based in Ridgewood, NJ. Family Physician, LLC practices in Ridgewood, NJ. The NPI Number for Family Physician, LLC is 1912956905 and holds a License No. 25MA07566000 (NJ). The current practice location address for Family Physician, LLC is 106 Prospect St, Ridgewood, NJ 07450-4433 and can be reached out via phone at 201-689-1939 and via fax at 201-689-1935.

Provider Profile Details

NPI Number
1912956905
Provider Name
Family Physician, LLC
Provider Entity Type
Organization
Address
106 Prospect St, Ridgewood, NJ 07450-4433
Phone Number
201-689-1939
Fax Number
201-689-1935
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Felix Fernando Pacheco, MD · Dr. · 551-206-8122
Provider Enumeration Date
May 8, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
106 Prospect St
Ridgewood, NJ 07450-4433
Zip
07450-4433
Phone Number
201-689-1939
Fax Number
201-689-1935
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
Po Box 454
Garfield, NJ 07026-0454
City
Garfield
State
NJ
Zip
07026-0454

License Information

License Number
25MA07566000
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · 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 Physician, LLC?

The NPI number of Family Physician, LLC is 1912956905. It was assigned on May 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Family Physician, LLC?

Family Physician, LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA07566000.

Where does Family Physician, LLC practice?

The practice location is 106 Prospect St, Ridgewood, NJ 07450-4433. The office can be reached at 201-689-1939 (phone) or 201-689-1935 (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 1912956905 directly on the NPPES registry website.

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