Integrated Walk-in & Family Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INTEGRATED WALK-IN & FAMILY CARE

Practice address

104 River Edge Rd
Bergenfield, NJ 07621-1132

Phone

(954) 393-6996

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Juan Santana, NURSE PRACTITIONER

Title

Apn

Phone

(954) 393-6996

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1407619802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIVER EDGE RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211132",
            "telephone_number": "954-393-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIVER EDGE RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211132",
            "telephone_number": "954-393-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WALK-IN & FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "954-393-6996",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jan 30, 2024; 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.