NPIMap

Organization Active NPI

Florida Family Physicians

  • Primary Care Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1194065508
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA FAMILY PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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.NPI 1154518181
Title
Owner
Phone
(407) 921-2074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
FL Family Physicians LLC3 organizations share this tax ID, including this one
Part of
FL Family Physicians LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

201 N Lakemont Ave
Ste 200
Winter Park, FL 32792
Phone (321) 203-4410

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.