Active NPI
FLJ & M Medical Professional Corporation
- Psychiatry Physician
- Edgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- FLJ & M MEDICAL PROFESSIONAL CORPORATION
- Practice address
- 115 River Rd Ste 305
Edgewater, NJ 07020-1009 - Phone
- (201) 941-4405
- Fax
- (201) 941-4408
- NPI assigned
- Sep 29, 2009
- Last updated
- Jul 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank Santos, MD
- Title
- President
- Phone
- (201) 941-4405
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
115 River Rd Ste 305
Edgewater, NJ 07020-1009
Mailing address
353 East Harriet Avenue
Palisades Park, NJ 07650
Phone (201) 941-4405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180274P4P | Other | MEDICARE ID-TYPE UNSPECIFIED |
National Provider Directory
National Provider DirectoryLocations
115 River Rd
Ste 305
Edgewater, NJ 07020
Phone (201) 941-4405
115 River Rd
Ste 118
Edgewater, NJ 07020
Phone (201) 941-4405
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.
-
- Psychiatry Physician
- West New York, NJ
- NPI 1811941651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1336473941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 EAST HARRIET AVENUE",
"city": "PALISADES PARK",
"state": "NJ",
"postal_code": "07650",
"telephone_number": "201-941-4405",
"fax_number": "201-941-4408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 RIVER RD STE 305",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201009",
"telephone_number": "201-941-4405",
"fax_number": "201-941-4408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLJ & M MEDICAL PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-29",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-941-4405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "180274P4P",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.