Provider Type Icon

VITAMED FAMILY PRACTICE NPI 1962575167


NPI Information

NPI: 1962575167
Provider Name: VITAMED FAMILY PRACTICE
Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 31D0994093

Address:
3000 KENNEDY BLVD
SUITE 308
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 963-0800
Get Directions

VITAMED FAMILY PRACTICE is an adolescent medicine family medicine in Jersey City, NJ. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. VITAMED FAMILY PRACTICE NPI is 1962575167. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3000 KENNEDY BLVD
SUITE 308
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 963-0800
Fax: (201) 656-6934

The provider's authorized official is Tadeusz Janusz Majchrzak .
The authorized official title is President and has the following contact phone number (201) 963-0800.

The CLIA number assigned to this NPI record is 31D0994093 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 5/11/2018.


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
1173000000XLegal MedicineMA5867500NEW JERSEYNo
2207QA0000XFamily MedicineAdolescent MedicineMA5867500NEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.