Organization Active NPI

Family Care Medical Center Inc

  • Internal Medicine Physician
  • Linden, NJ
National Provider Identifier
1043547599
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA28520 Issued in NJ
Legal business name
FAMILY CARE MEDICAL CENTER INC
Practice address
431 Miner Ter
Linden, NJ 07036-4139
Phone
(908) 718-5649
Fax
(908) 718-5995
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Cleve Dawson Sr., M.D.
Title
Ceo
Phone
(908) 718-5649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA28520 NJ Primary

Addresses

Primary practice location

431 Miner Ter
Linden, NJ 07036-4139

Mailing address

431 Miner Ter
Linden, NJ 07036-4139
Phone (908) 718-5649

Other identifiers 1

IdentifierTypeStateIssuer
4004400MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1043547599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MINER TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364139",
            "telephone_number": "908-718-5649",
            "fax_number": "908-718-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MINER TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364139",
            "telephone_number": "908-718-5649",
            "fax_number": "908-718-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CLEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-718-5649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA28520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4004400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.