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OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC NPI 1053062539


NPI Information

NPI: 1053062539
Provider Name: OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D2259351

Address:
541 CEDAR HILL AVE
WYCKOFF, NJ
ZIP 07481
Phone: (551) 500-5708
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OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC is a family medicine in Wyckoff, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC NPI is 1053062539. The provider is registered as an organization entity type.

The provider's business location address is:

541 CEDAR HILL AVE
WYCKOFF, NJ
ZIP 07481-150
Phone: (551) 500-5708

The provider's authorized official is Daniel Defeo .
The authorized official title is Physician Owner and has the following contact phone number (551) 815-1000.

The CLIA number assigned to this NPI record is 31D2259351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2022 and was last updated on 12/14/2022.


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
1261QP2300XClinic/CenterPrimary CareNo
2207Q00000XFamily MedicineYes

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: 5/5/2024

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