Active NPI
First Med Family Health Care LLC
Doing business as First Med Family Healthcare
- Non-Pharmacy Dispensing Site
- Northvale, NJ
National Provider Identifier
1013354620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 26NJ00579800
- Legal business name
- FIRST MED FAMILY HEALTH CARE LLC
- Doing business as
- First Med Family Healthcare
- Practice address
- 244 Livingston St
Northvale, NJ 07647-1996 - Phone
- (201) 768-1200
- NPI assigned
- May 23, 2013
- Last updated
- Jan 8, 2016
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 964-1506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 26NJ00579800 | NJ | Primary |
Addresses
Primary practice location
244 Livingston St
Northvale, NJ 07647-1996
Mailing address
9276 Scranton Rd
Suite 100
San Diego, CA 92121-7701
Other names 1
- First Med Family Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0874036 | First Med Family Healthcare LLC | Certificate of waiver | Jan 18, 2027 |
National Provider Directory
National Provider Directory- Part of
- Medvantx Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Northvale, NJ
- NPI 1093781957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452211200000",
"number": "1013354620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9276 SCRANTON RD",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921217701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 LIVINGSTON ST",
"city": "NORTHVALE",
"state": "NJ",
"postal_code": "076471996",
"telephone_number": "201-768-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST MED FAMILY HEALTH CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2013-05-23",
"last_updated": "2016-01-08",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "858-964-1506"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NJ",
"license": "26NJ00579800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Med Family Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northvale, NJ
- Dynamic Physical Therapy and Sports Rehabilitations
- Dynamic Physical Therapy at Home
- Epher Serrano Espinola, PT
- Abbey Raia Fallon, BSED, ATC, LAT
- Henry Scott Farah, M.D.
- Firstmed Family Healthcare LLC
- William Edward Fisher, PA
- Jody Maureen Flynn X, PTA
- Frederick M Weintraub (alpine/northernvalley podiatry)
- Evelyn Ghadimian
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.