Active NPI
Foot & Ankle Center at St James
Doing business as Family Care Center at St James
- Obstetrics & Gynecology Physician
- Newark, NJ
National Provider Identifier
1447434923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- FOOT & ANKLE CENTER AT ST JAMES
- Doing business as
- Family Care Center at St James
- Practice address
- 228 Lafayette St
Newark, NJ 07105-1815 - Phone
- (973) 465-2790
- NPI assigned
- Dec 20, 2007
- Last updated
- Jul 21, 2022
- 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
- Dr. Lilia Blanco, MD
- Title
- Managing Physician
- Phone
- (973) 465-2790
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NJ | ||
| Obstetrics & Gynecology Physician | 207V00000X | NJ | Primary | |
| Maternal & Fetal Medicine Physician | 207VM0101X | NJ | ||
| Psychiatry Physician | 2084P0800X | NJ | ||
| Podiatrist | 213E00000X | NJ |
Addresses
Primary practice location
228 Lafayette St
Newark, NJ 07105-1815
Mailing address
66 W Gilbert St
2ND Floor
Red Bank, NJ 07701-4918
Phone (732) 212-0051
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6313507 | Medicaid | NJ | |
| G2055487 | Other | NJ | OXFORD |
| 1050989 | Other | NJ | HORIZON NJ HEALTH |
| 01000027000 | Other | NJ | AMERICHOICE |
| 6313515 | Medicaid | NJ |
Other names 1
- FAMILY CARE CENTER AT ST JAMES
National Provider Directory
National Provider DirectoryLocations
228 Lafayette St
Newark, NJ 07105
Phone (973) 465-2790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1447434923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"address_2": "2ND FLOOR",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077014918",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 LAFAYETTE ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071051815",
"telephone_number": "973-465-2790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE CENTER AT ST JAMES",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BLANCO",
"authorized_official_first_name": "LILIA",
"authorized_official_title_or_position": "MANAGING PHYSICIAN",
"authorized_official_telephone_number": "973-465-2790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6313507",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "G2055487",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1050989",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01000027000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6313515",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY CARE CENTER AT ST JAMES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.