Quailbrook Family Physicians

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

26MA03435600 Issued in NJ

Legal business name

QUAILBROOK FAMILY PHYSICIANS

Practice address

27 Clyde Rd
Somerset, NJ 08873-5039

Phone

(732) 246-7440

Fax

(732) 249-5951

NPI assigned

Dec 22, 2006

Last updated

Mar 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Bertram Gross, M.D.

Title

Owner

Phone

(732) 246-7440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1396800272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CLYDE RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735039",
            "telephone_number": "732-246-7440",
            "fax_number": "732-249-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CLYDE RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735039",
            "telephone_number": "732-246-7440",
            "fax_number": "732-249-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAILBROOK FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "BERTRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-246-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "26MA03435600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

Verify at the official NPI Registry.