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FOREST HILL FAMILY HEALTH ASSOCIATES P A NPI 1134292360


NPI Information

NPI: 1134292360
Provider Name: FOREST HILL FAMILY HEALTH ASSOCIATES P A
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
465 MT. PROSPECT AVENUE
NEWARK, NJ
ZIP 07104
Phone: (973) 483-3640
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FOREST HILL FAMILY HEALTH ASSOCIATES P A is a family medicine in Newark, 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. FOREST HILL FAMILY HEALTH ASSOCIATES P A NPI is 1134292360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

465 MT. PROSPECT AVENUE
NEWARK, NJ
ZIP 07104
Phone: (973) 483-3640
Fax: (973) 483-0132

The provider's authorized official is Thomas R Ortiz .
The authorized official title is Medical Director and has the following contact phone number (973) 485-6242.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 4/30/2008.


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 MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11259202OTHERNEW JERSEYMEDICAID INDIVIDUAL PROVIDER
23145107MEDICAIDNEW JERSEY
3033691MEDICARE PINNEW JERSEY
4D07187MEDICARE UPINNEW JERSEY
5033691BXBOTHERNEW JERSEYMEDICARE GROUP SUFFIX
6527732MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE GROUP

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: 4/28/2024

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