Organization Active NPI

Center for Family Medicine,PA

  • Family Medicine Physician
  • Old Bridge, NJ
National Provider Identifier
1245426311
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTER FOR FAMILY MEDICINE,PA
Practice address
69 County Rd 516
Old Bridge, NJ 08857-1416
Phone
(732) 254-1515
Fax
(732) 651-0774
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. John J Nevins, DONPI 1316987480
Title
President
Phone
(732) 246-0291

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 Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

69 County Rd 516
Old Bridge, NJ 08857-1416

Mailing address

2 Tower Center Blvd FL 12
East Brunswick, NJ 08816-1100
Phone (732) 246-0291

National Provider Directory

National Provider Directory

Locations

2 Tower Center Blvd
Fl 12
East Brunswick, NJ 08816
Phone (732) 246-0291

69 Route 516
Old Bridge, NJ 08857
Phone (732) 254-1515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1245426311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TOWER CENTER BLVD FL 12",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161100",
            "telephone_number": "732-246-0291",
            "fax_number": "732-828-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 COUNTY RD 516",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571416",
            "telephone_number": "732-254-1515",
            "fax_number": "732-651-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY MEDICINE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "NEVINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-246-0291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.