Village Family Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00579300 Issued in NJ

Legal business name

VILLAGE FAMILY CLINIC, LLC

Practice address

1500 Route 517
Hackettstown, NJ 07840-2717

Phone

(908) 813-8200

Fax

(908) 813-8224

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. James R. Fedich, D.C.

Title

President

Phone

(908) 813-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1477916658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402717",
            "telephone_number": "908-813-8200",
            "fax_number": "908-813-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402717",
            "telephone_number": "908-813-8200",
            "fax_number": "908-813-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "FEDICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-813-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00579300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reah-Gayle Vargas
• Jude E Velez, PT
• Victory Care Givers LLC
• Victory Medical Clinic LLC
• Christopher Mark Viggiano, D.C.
• Village Family Medical
• Marc H Vilmenay, RRT, CPFT
• Diana Violante
• Kakubhai R Vora, PH.D., R.PH.
• Michael Votta, PT

• Chiropractor in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.