Family Practice Of Central Jersey

LBN: Kenneth Faistl, Md,Pa
Family Practice Of Central Jersey is an health care organization with primary practice located at 17 Broad St , Freehold NJ 07728-1703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Kenneth Faistl, Md,Pa can be contacted via phone (732) 462-9622, or through Faistl, Kenneth W via phone (732) 462-9622.

Contact Information

Primary practice address
17 Broad St Freehold NJ 07728-1703
Phone: (732) 462-9622
Fax: (732) 780-0014
Website:
Map and Directions
Authorized official contact:
Name: Faistl, Kenneth W Doctor of Medicine (MD)
Phone: (732) 462-9622

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1942277223
LBN Legal business name Kenneth Faistl, Md,Pa
DBA Doing business as Family Practice Of Central Jersey
Authorized official Faistl, Kenneth W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2006
Last updated May 20th, 2008 - about 16 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 1942277223 NPPES
New Jersey MEDICAID 7461402

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