Washington Family Medicine, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA07631200 Issued in NJ

Legal business name

WASHINGTON FAMILY MEDICINE, PC

Practice address

191 US Highway 206
Suite 5
Flanders, NJ 07836-9002

Phone

(973) 584-0045

Fax

(973) 584-0094

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sofia Ramona Fernandez, MD

Title

Owner

Phone

(973) 348-9173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Krystine Swannick-Konopczynski, MD

  • Nephrology Physician
  • Naples, FL
  • NPI 1518989037
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1295957769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SMITHFIELD COURT",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202789",
            "telephone_number": "973-348-9173",
            "fax_number": "908-271-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 US HIGHWAY 206",
            "address_2": "SUITE 5",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369002",
            "telephone_number": "973-584-0045",
            "fax_number": "973-584-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "RAMONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-348-9173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA07631200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174678114",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida Sarkodie Inc.
• Paul Voitek, RPH
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Sophia Wall
• Paula Weisman
• Ashley Morgan Wiedow
• Joleen Wiggins, M.S., CCC-SLP
• John David Yachmetz, DDS
• Youth Consultation Service Inc

• General Practice Physician in Flanders, NJ
• Providers in Flanders, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.