Organization Active NPI

Family Practice Center, Corp.

  • Family Medicine Physician
  • West New York, NJ
National Provider Identifier
1497069314
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03535900 Issued in NJ
Legal business name
FAMILY PRACTICE CENTER, CORP.
Practice address
504 51St St
West New York, NJ 07093-5503
Phone
(201) 863-8342
Fax
(201) 863-8415
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Fermin J Leon, M.D.
Title
Owner
Phone
(201) 863-8342

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25MA03535900 NJ Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 25MA03535900 NJ

Addresses

Primary practice location

504 51St St
West New York, NJ 07093-5503

Mailing address

504 51St St
West New York, NJ 07093-5503
Phone (201) 863-8342

National Provider Directory

National Provider Directory

Locations

11 Erie St
Jersey City, NJ 07302
Phone (201) 863-8342

504 51st St
West New York, NJ 07093
Phone (201) 863-8342

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1497069314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 51ST ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935503",
            "telephone_number": "201-863-8342",
            "fax_number": "201-863-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 51ST ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935503",
            "telephone_number": "201-863-8342",
            "fax_number": "201-863-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "FERMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-863-8342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03535900",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA03535900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.