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COMPREHENSIVE FAMILY CARE LLC. NPI 1255602835


NPI Information

NPI: 1255602835
Provider Name: COMPREHENSIVE FAMILY CARE, LLC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D2253655

Address:
297 PASSAIC ST
GARFIELD, NJ
ZIP 07026
Phone: (973) 777-2293
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COMPREHENSIVE FAMILY CARE, LLC. is a family medicine in Garfield, 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. COMPREHENSIVE FAMILY CARE, LLC. NPI is 1255602835. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

297 PASSAIC ST
GARFIELD, NJ
ZIP 07026-319
Phone: (973) 777-2293
Fax: (973) 777-9117

The provider's authorized official is Donna Marie Koch .
The authorized official title is Physician and has the following contact phone number (973) 777-2293.

The CLIA number assigned to this NPI record is 31D2253655 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2012 and was last updated on 1/13/2012.


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 MedicineMB069001NEW JERSEYYes

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
19081101MEDICAIDNEW JERSEY
2051894MEDICARE PINNEW JERSEY
3H50032MEDICARE UPINNEW JERSEY

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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