Family Medical Group Services LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FAMILY MEDICAL GROUP SERVICES LLC

Practice address

134 Evergreen PL Ste 501
East Orange, NJ 07018-2010

Phone

(862) 520-3902

Fax

(862) 520-3895

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Clarence Stevenson

Title

Director of Operations

Phone

(862) 520-3902

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marina A Alexandrova II, M.D.

  • Internal Medicine Physician
  • Nutley, NJ
  • NPI 1073687240
  NPD

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1194033613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 501",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182010",
            "telephone_number": "862-520-3902",
            "fax_number": "862-520-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 501",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182010",
            "telephone_number": "862-520-3902",
            "fax_number": "862-520-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL GROUP SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "862-520-3902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Extended Care Services
• Family Home Care Services LLC
• Family Intervention Services Inc
• Family Intervention Services Inc
• Family Matters ABA
• Family Medicine Pediatrics LLC
• Amanda Farag, MD
• Safwat S Farag, R.PH.
• Anna Farmer, LCSW
• Musarrat Fatima, PHARMACIST

• Specialist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.