Englewood Family Health Center, P.A

LBN: Englewood Family Health Center, P.A
Englewood Family Health Center, P.A is an health care organization with primary practice located at 148 Engle St , Englewood NJ 07631-2581. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Englewood Family Health Center, P.A can be contacted via phone (201) 569-1530, or through Portilla, Diana M via phone (201) 926-1828.

Contact Information

Primary practice address
148 Engle St Englewood NJ 07631-2581
Fax: (201) 569-6022
Website:
Authorized official contact:
Name: Portilla, Diana M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1366693145
LBN Legal business name Englewood Family Health Center, P.A
DBA Doing business as
Authorized official Portilla, Diana M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2008
Last updated May 10th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366693145 NPPES
New Jersey MEDICAID 0611859
New Jersey Other G11493

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