FAMILY MD LLC NPI 1962176479

NPI Information

NPI: 1962176479
Provider Name: FAMILY MD LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 31D2277412

Address:
393 MULBERRY ST STE 203
NEWARK, NJ
ZIP 07102
Phone: (201) 733-9222
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FAMILY MD LLC is an urgent care clinic center in Newark, NJ. FAMILY MD LLC NPI is 1962176479. 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
Fax: (201) 777-7132

The provider's authorized official is Magdy F Mahmoud .
The authorized official title is Registered Agent and has the following contact phone number (973) 370-4000.

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 8/7/2021 and was last updated on 1/5/2022.

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	261QU0200X	Clinic/Center	Urgent Care			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: 4/28/2024

NPI Synchronization or Removal

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