Organization Active NPI

Blessed Family Care Consultants LLC

  • Primary Care Clinic/Center
  • Irvington, NJ
National Provider Identifier
1376939199
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
26NJ00468500 Issued in NJ
Legal business name
BLESSED FAMILY CARE CONSULTANTS LLC
Practice address
34 Union Ave
Suite 201
Irvington, NJ 07111-3219
Phone
(862) 217-4480
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Bola Fadipe, APN-C
Title
Family Nurse Practitioner
Phone
(862) 576-2061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 26NJ00468500 NJ Primary

Addresses

Primary practice location

34 Union Ave
Suite 201
Irvington, NJ 07111-3219

Mailing address

146 Stuyvesant Ave
Floor 2
Newark, NJ 07106-2508
Phone (862) 576-2061

National Provider Directory

National Provider Directory

Locations

34 Union Ave
Ste 201
Irvington, NJ 07111
Phone (862) 217-4480

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1376939199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 STUYVESANT AVE",
            "address_2": "FLOOR 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071062508",
            "telephone_number": "862-576-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 UNION AVE",
            "address_2": "SUITE 201",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113219",
            "telephone_number": "862-217-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED FAMILY CARE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "FADIPE",
        "authorized_official_first_name": "BOLA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "862-576-2061",
        "authorized_official_credential": "APN-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "26NJ00468500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.