Active NPI
Blessed Family Care Consultants LLC
- Primary Care Clinic/Center
- Irvington, NJ
National Provider Identifier
1376939199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 26NJ00468500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.