Organization Active NPI

First Care Providers, LLC

  • Internal Medicine Physician
  • Passaic, NJ
National Provider Identifier
1023315223
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0400380833 Issued in NJ
Legal business name
FIRST CARE PROVIDERS, LLC
Practice address
647 Main Ave Ste 207
Passaic, NJ 07055-4962
Phone
(973) 735-1231
Fax
(973) 735-1232
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anita Thomas, DNP, ANP-BCNPI 1245422740
Title
Ceo
Phone
(973) 735-1231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0400380833 NJ Primary

Addresses

Primary practice location

647 Main Ave Ste 207
Passaic, NJ 07055-4962

Mailing address

PO Box 315
Lodi, NJ 07644-0315
Phone (973) 735-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110606000519 NJ Part B Supplier - Clinic/Group Practice 9032396700 Receives reassigned benefits from 2 practitioners
Practice locations: Berkeley Heights, NJ; Passaic, NJ
O20150120001436 NY Part B Supplier - Clinic/Group Practice 9032396700 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, NY; Syracuse, NY; Brooklyn, NY; Schenectady, NY; Rego Park, NY; Herkimer, NY; Delmar, NY; Bronx, NY…

National Provider Directory

National Provider Directory

Locations

972 Broad St
Fl 4
Newark, NJ 07102
Phone (973) 735-1231

647 Main Ave
Ste 207
Passaic, NJ 07055
Phone (973) 735-1231

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1023315223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076440315",
            "telephone_number": "973-735-1231",
            "fax_number": "973-735-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 MAIN AVE STE 207",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554962",
            "telephone_number": "973-735-1231",
            "fax_number": "973-735-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-735-1231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ANP-BC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "0400380833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.