Active NPI
Florida Family Physicians
- Primary Care Clinic/Center
- Jersey City, NJ
National Provider Identifier
1194065508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FLORIDA FAMILY PHYSICIANS
- Practice address
- 2690 John F Kennedy Blvd
Jersey City, NJ 07306-5804 - Phone
- (609) 592-2293
- NPI assigned
- Feb 21, 2013
- Organization subpart
- Yes
- Parent organization
- FLORIDA FAMILY PHYSICIANS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jasvendar Singh Nandra, M.D.
- Title
- Owner
- Phone
- (407) 921-2074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2690 John F Kennedy Blvd
Jersey City, NJ 07306-5804
Mailing address
PO Box 951659
Lake Mary, FL 32795-1659
Phone (407) 921-2074
Other practice location 1
201 N Lakemont Ave
Siute 200
Winter Park, FL 32792-3228
Phone (407) 678-4433
National Provider Directory
National Provider Directory- Tax ID family
- Florida Family Physicians
- Part of
- Florida Family Physicians
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Clermont, FL
- NPI 1043550452
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1750621538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1194065508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 951659",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327951659",
"telephone_number": "407-921-2074",
"fax_number": "407-264-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 JOHN F KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065804",
"telephone_number": "609-592-2293"
}
],
"practiceLocations": [
{
"address_1": "201 N Lakemont Ave",
"address_2": "Siute 200",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327923228",
"country_code": "US",
"telephone_number": "407-678-4433",
"fax_number": "407-478-5518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FLORIDA FAMILY PHYSICIANS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLORIDA FAMILY PHYSICIANS",
"enumeration_date": "2013-02-21",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A",
"authorized_official_last_name": "NANDRA",
"authorized_official_first_name": "JASVENDAR",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-921-2074",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.