Family Medicine of Albemarle, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE OF ALBEMARLE, INC.

Practice address

1450 Sachem PL
Suite 201
Charlottesville, VA 22901-2554

Phone

(434) 973-9744

Fax

(434) 973-9790

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Paul Marotta, M.D.NPI 1871598995

Title

President

Phone

(434) 973-9744

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Raymond Paul Marotta, M.D.

  • Family Medicine Physician
  • Charlottesville, VA
  • NPI 1871598995
  Medicare reassignment NPD Authorized official
• Janell Langley, FNP-BC

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1689377145
  NPD (past)
• Stephanie Wei Liu, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1609381789

  Family Medicine

  NPD (past)
• Cassandra Leigh Martinez, FNP-BC

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1407572993
  NPD (past)
• Mikelah Raye Taylor

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1477236172
  NPD (past)
• Jaclyn R Hope

  • Physician Assistant
  • Fruitland, ID
  • NPI 1114383759
  NPD (past)
• Karen Kubinec, N.P.

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1457809436
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164429189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SACHEM PL",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012554",
            "telephone_number": "434-973-9744",
            "fax_number": "434-973-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SACHEM PL",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012554",
            "telephone_number": "434-973-9744",
            "fax_number": "434-973-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF ALBEMARLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "MAROTTA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-973-9744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "004580",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kishan Faldu, MD
• Beth Evelyn Fallin, NP
• Joseph A. Fallon, P.A.
• Erinn Falls, MSW, LCSW
• Family Dermatology of Albemarle PLC
• Laura Elizabeth Braunstein Famularo, LCGC
• Julie C Fanburg-Smith, MD
• Christina M. Fang, PNP-AC
• Gary Y. Fang, MD
• Ryan Daniel Farias

• Family Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.