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BAYFRONT MEDICAL ASSOCIATES LLC NPI 1508168709


NPI Information

NPI: 1508168709
Provider Name: BAYFRONT MEDICAL ASSOCIATES, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D2130571

Address:
1809 JOHN F KENNEDY BLVD
GROUND FLOOR
JERSEY CITY, NJ
ZIP 07305
Phone: (201) 763-6664
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BAYFRONT MEDICAL ASSOCIATES, LLC is a family medicine in Jersey City, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAYFRONT MEDICAL ASSOCIATES, LLC NPI is 1508168709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1809 JOHN F KENNEDY BLVD
GROUND FLOOR
JERSEY CITY, NJ
ZIP 07305-184
Phone: (201) 763-6664
Fax: (201) 763-6840

The provider's authorized official is Dilruba Khanam .
The authorized official title is Family Medicine Physician and has the following contact phone number (201) 763-6664.

The CLIA number assigned to this NPI record is 31D2130571 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2010 and was last updated on 11/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMA07937600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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