FAMILY MD LLC NPI 1538851779

NPI Information

NPI: 1538851779
Provider Name: FAMILY MD LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
CLIA Number: 31D2277412
Address: 393 MULBERRY ST STE 203
NEWARK, NJ
ZIP 07102
Phone: (201) 733-9222

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NPI Details

FAMILY MD LLC is a clinic center in Newark, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FAMILY MD LLC NPI is 1538851779. The provider is registered as an organization entity type.

The provider's business location address is:

393 MULBERRY ST STE 203
NEWARK, NJ
ZIP 07102-417
Phone: (201) 733-9222

The provider's authorized official is Hr Manager .
The authorized official title is Manager and has the following contact phone number (973) 777-0000.

The CLIA number assigned to this NPI record is 31D2277412 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2023 and was last updated on 7/29/2025.

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			No
2	261Q00000X	Clinic/Center				Yes

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: 11/21/2025

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