BLESSED FAMILY CARE CONSULTANTS LLC NPI 1376939199

NPI Information

NPI: 1376939199
Provider Name: BLESSED FAMILY CARE CONSULTANTS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D2237689

Address:
34 UNION AVE
SUITE 201
IRVINGTON, NJ
ZIP 07111
Phone: (862) 217-4480
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BLESSED FAMILY CARE CONSULTANTS LLC is a primary care clinic center in Irvington, NJ. BLESSED FAMILY CARE CONSULTANTS LLC NPI is 1376939199. The provider is registered as an organization entity type.

The provider's business location address is:

34 UNION AVE
SUITE 201
IRVINGTON, NJ
ZIP 07111-219
Phone: (862) 217-4480

The provider's authorized official is Bola Fadipe .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (862) 576-2061.

The CLIA number assigned to this NPI record is 31D2237689 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2015 and was last updated on 4/8/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	26NJ00468500	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	360560	MEDICARE PIN	NEW 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: 11/14/2023

NPI Synchronization or Removal

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