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HEALTHY LIVING FAMILY CARE CENTER NPI 1538547112


NPI Information

NPI: 1538547112
Provider Name: HEALTHY LIVING FAMILY CARE CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
84 SANFORD ST
EAST ORANGE, NJ
ZIP 07018
Phone: (862) 955-3232
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HEALTHY LIVING FAMILY CARE CENTER is a family medicine in East Orange, 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. HEALTHY LIVING FAMILY CARE CENTER NPI is 1538547112. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

84 SANFORD ST
EAST ORANGE, NJ
ZIP 07018-927
Phone: (862) 955-3232
Fax: (862) 772-4820

The provider's authorized official is Gardy Valentin .
The authorized official title is Medical Director and has the following contact phone number (862) 955-3232.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 7/27/2016.


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 Medicine25MA08826900NEW JERSEYNo
2207Q00000XFamily Medicine25MP00192500NEW 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
1426027MEDICARE PINNEW JERSEY
21660789MEDICARE PINLOUISIANA

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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