Active NPI
Faculty Family Practice at Somerset, LLC
- Family Medicine Physician
- Somerville, NJ
National Provider Identifier
1366434771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3254101 | Medicaid | NJ |
Other names 1
- Faculty Family Practice Of Somerset
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Somerville, NJ
- NPI 1598765638
-
- Family Medicine Physician
- NPI 1174523112
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.