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CROWN FAMILY MEDICAL CARE NPI 1649619644


NPI Information

NPI: 1649619644
Provider Name: CROWN FAMILY MEDICAL CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D2072038

Address:
629 AMBOY AVE
SUITE 109
EDISON, NJ
ZIP 08837
Phone: (732) 486-3365
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CROWN FAMILY MEDICAL CARE is a family medicine in Edison, 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. CROWN FAMILY MEDICAL CARE NPI is 1649619644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

629 AMBOY AVE
SUITE 109
EDISON, NJ
ZIP 08837-579
Phone: (732) 486-3365
Fax: (732) 486-3367

The provider's authorized official is Adedayo Aderibigbe .
The authorized official title is Medical Director and has the following contact phone number (862) 215-1678.

The CLIA number assigned to this NPI record is 31D2072038 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2013 and was last updated on 1/27/2021.


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 MedicineMA08693900NEW 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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