Organization Active NPI

North Jersey Family Medicine, L.L.C.

  • Family Medicine Physician
  • Oakland, NJ
National Provider Identifier
1205228566
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07883400 Issued in NJ
Legal business name
NORTH JERSEY FAMILY MEDICINE, L.L.C.
Practice address
19 Yawpo Ave
Oakland, NJ 07436-2739
Phone
(201) 337-3412
Fax
(201) 337-3353
NPI assigned
Feb 24, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Dr. Robert S Dela Gente, D.O.NPI 1891886230
Title
Member/Manager
Phone
(201) 337-3412

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MB07883400 NJ Primary

Addresses

Primary practice location

19 Yawpo Ave
Oakland, NJ 07436-2739

Mailing address

19 Yawpo Ave
Oakland, NJ 07436-2739
Phone (201) 337-3412

National Provider Directory

National Provider Directory

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1205228566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362739",
            "telephone_number": "201-337-3412",
            "fax_number": "201-337-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362739",
            "telephone_number": "201-337-3412",
            "fax_number": "201-337-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY FAMILY MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "DELA GENTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "201-337-3412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07883400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.