Family Medical Group, Pc

LBN: Family Medical Group, Pc
Family Medical Group, Pc 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 Agencies / Case Management, which is considered as the primary health care specialty. Family Medical Group, Pc can be contacted via phone (908) 436-0022, or through Othman, Essam Abdou via phone (908) 436-0022.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 25MA06234900 New Jersey

Profile Details

NPI number 1215257878
LBN Legal business name Family Medical Group, Pc
DBA Doing business as
Authorized official Othman, Essam Abdou Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2010
Last updated Jun 7th, 2010 - about 14 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 1215257878 NPPES
New Jersey MEDICAID 7077009

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