NPIMap

Organization Active NPI

Metropolitan Family Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
National Provider Identifier
1417967456
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
24089 Issued in NJ
Legal business name
METROPOLITAN FAMILY HEALTH NETWORK, INC.
Practice address
935 Garfield Ave
Jersey City, NJ 07304-2731
Phone
(201) 478-5800
Fax
(201) 478-5814
NPI assigned
Aug 9, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Jason T Elliston, MDNPI 1669520375
Title
Medical Director
Phone
(201) 478-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 24089 NJ Primary

Addresses

Primary practice location

935 Garfield Ave
Jersey City, NJ 07304-2731

Mailing address

935 Garfield Ave
Jersey City, NJ 07304-2731
Phone (201) 478-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060913000529 NJ Part A Provider - Federally Qualified Health Center (FQHC) 4981608486 Practice locations: Jersey City, NJ
O20070907000455 NJ Part B Supplier - Clinic/Group Practice 4981608486 Receives reassigned benefits from 22 practitioners
2 other NPIs on this enrollment
Practice locations: Jersey City, NJ; West New York, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417967456. Details of each certification follow.

Federally qualified health center certification: CCN 311878

Legal name
METROPOLITAN FAMILY HEALTH NETWORK,INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 19, 2007
Last certification
Oct 19, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 9, 2006 in NJ
Enrollment address
935 Garfield Ave
Jersey City, NJ 73042731

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

935 Garfield Ave
Fl 2
Jersey City, NJ 07304
Phone (201) 478-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason T Elliston Individual Corporate OfficerChief Medical Officer May 1, 2023
Tracey Hood Individual Corporate Director Jan 1, 2023
Douglas Scott Carey Individual W-2 Managing Employee Nov 1, 2023
Joan M Dublin Individual Corporate OfficerPresident/ Chief Executive Officer Sep 4, 2007
Reinaldo Santiago Individual Corporate Director May 1, 2023
Darrell Laval Individual Corporate Director Jan 1, 2023

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Metropolitan Family Health Network,Inc.Jersey City, NJ, CCN 311877 Federally qualified health center Other (100%) Sep 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1417967456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 GARFIELD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042731",
            "telephone_number": "201-478-5800",
            "fax_number": "201-478-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 GARFIELD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042731",
            "telephone_number": "201-478-5800",
            "fax_number": "201-478-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN FAMILY HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "ELLISTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-478-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NJ",
            "license": "24089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.