Family Medical Practice II

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB54119 Issued in NJ

Legal business name

FAMILY MEDICAL PRACTICE II

Practice address

106 Prospect St
Ridgewood, NJ 07450

Phone

(201) 689-1933

Fax

(201) 689-1935

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Marjorie Marie Condon, DO

Title

Physician

Phone

(201) 689-1933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477571826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-689-1933",
            "fax_number": "201-689-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-689-1933",
            "fax_number": "201-689-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL PRACTICE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-689-1933",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB54119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Faicco, RDCDN
• Faloon Medical, LLC
• Michael Faloon, M.D.
• Family Chiropractors of Ridgewood
• Family Dynamics LLC
• Family of Caring Healthcare at Ridgewood, LLC
• Family Physical Therapy of Ridgewood, L.L.C.
• Family Physician, LLC
• Alima Bibi Farooki, M.D.
• David Alan Fascitelli, MD

• Family Medicine Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.