Family Medical Group, P.C.

LBN: Family Medical Group, P.C.
Family Medical Group, P.C. is an health care organization with primary practice located at 700 N Broad St , Elizabeth NJ 07208-2310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Family Medical Group, P.C. can be contacted via phone (908) 436-0022, or through Othman, Essam A via phone (908) 436-0022.

Contact Information

Primary practice address
700 N Broad St Elizabeth NJ 07208-2310
Phone: (908) 436-0022
Fax: (908) 436-0088
Website:
Map and Directions
Authorized official contact:
Name: Othman, Essam A Doctor of Medicine (MD)
Phone: (908) 436-0022

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X MA062349 New Jersey

Profile Details

NPI number 1730589763
LBN Legal business name Family Medical Group, P.C.
DBA Doing business as
Authorized official Othman, Essam A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2014
Last updated Aug 27th, 2014 - about 10 years ago

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 1730589763 NPPES
New Jersey MEDICAID 7077009

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