Organization Active NPI

4Fam Quality Care LLC

  • Family Nurse Practitioner
  • Franklinville, NJ
National Provider Identifier
1205556057
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
4FAM QUALITY CARE LLC
Practice address
2959 Delsea Dr
Franklinville, NJ 08322-2921
Phone
(856) 693-5859
Fax
(856) 367-5130
NPI assigned
Aug 31, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Mr. Zachariah G Smith, APNNPI 1699265132
Title
Apn
Phone
(856) 693-5859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2959 Delsea Dr
Franklinville, NJ 08322-2921

Mailing address

2959 Delsea Dr
Franklinville, NJ 08322-2921
Phone (856) 693-5859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221014000258 NJ Part B Supplier - Clinic/Group Practice 9537535638 Receives reassigned benefits from 1 practitioner
Practice locations: Franklinville, NJ

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": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1205556057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 DELSEA DR",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222921",
            "telephone_number": "856-693-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 DELSEA DR",
            "city": "FRANKLINVILLE",
            "state": "NJ",
            "postal_code": "083222921",
            "telephone_number": "856-693-5859",
            "fax_number": "856-367-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4FAM QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ZACHARIAH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "856-693-5859",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.