NPIMap

Organization Active NPI

Adom Family Medicine Center LLC

  • Primary Care Clinic/Center
  • South Amboy, NJ
National Provider Identifier
1235425356
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA08696000 Issued in NJ
Legal business name
ADOM FAMILY MEDICINE CENTER LLC
Practice address
137 S Broadway
South Amboy, NJ 08879-3412
Phone
(908) 692-4382
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Dr. Yaw Ofori-Behome, MD
Title
Physician
Phone
(732) 727-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA08696000 NJ Primary

Addresses

Primary practice location

137 S Broadway
South Amboy, NJ 08879-3412

Mailing address

137 S Broadway Ste A4
South Amboy, NJ 08879-3413
Phone (908) 692-4382

National Provider Directory

National Provider Directory

Locations

137 S Broadway
Ste A4
South Amboy, NJ 08879
Phone (732) 727-4900

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1235425356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 S BROADWAY STE A4",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793413",
            "telephone_number": "908-692-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S BROADWAY",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088793412",
            "telephone_number": "908-692-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOM FAMILY MEDICINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "OFORI-BEHOME",
        "authorized_official_first_name": "YAW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-727-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA08696000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.