Organization Active NPI

Faculty Family Practice at Somerset, LLC

  • Family Medicine Physician
  • Somerville, NJ
National Provider Identifier
1366434771
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FACULTY FAMILY PRACTICE AT SOMERSET, LLC
Practice address
110 Rehill Ave
Somerville, NJ 08876-2519
Phone
(908) 685-2900
Fax
(908) 704-3764
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Frances Y. Wu, M.D.
Title
President of LLC
Phone
(908) 595-2617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

110 Rehill Ave
Somerville, NJ 08876-2519

Mailing address

P.O. Box 6427
Bridgewater, NJ 08807-6427
Phone (908) 685-2900

Other identifiers 1

IdentifierTypeStateIssuer
3254101MedicaidNJ

Other names 1

  • Faculty Family Practice Of Somerset Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1366434771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6427",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088076427",
            "telephone_number": "908-685-2900",
            "fax_number": "908-704-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REHILL AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762519",
            "telephone_number": "908-685-2900",
            "fax_number": "908-704-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY FAMILY PRACTICE AT SOMERSET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT OF LLC",
        "authorized_official_telephone_number": "908-595-2617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3254101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faculty Family Practice Of Somerset",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.