Excel Family Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA08794200 Issued in NJ

Legal business name

EXCEL FAMILY CARE LLC

Practice address

400 US Highway 130
East Windsor, NJ 08520-2792

Phone

(609) 301-0515

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Srilakshmi Subramanian, M.D.NPI 1013172170

Title

Managing Member

Phone

(732) 754-6894

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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

• Srilakshmi Subramanian, MD

  • Family Medicine Physician
  • East Windsor, NJ
  • NPI 1013172170
  Medicare reassignment Care Compare group Authorized official
• Deanna Marie Gomez, APN

  • Family Nurse Practitioner
  • East Windsor, NJ
  • NPI 1629703525
  Medicare reassignment Care Compare group NPD
• Catherine Jane Benyon, PA

  • Physician Assistant
  • East Windsor, NJ
  • NPI 1912887563
  Medicare reassignment NPD

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1184098873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAXWELL RD",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088312227",
            "telephone_number": "732-754-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 130",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202792",
            "telephone_number": "609-301-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "SRILAKSHMI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-754-6894",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA08794200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288926",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in East Windsor, NJ
• Providers in East Windsor, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.