Active NPI
Family Practice Center, Corp.
- Family Medicine Physician
- West New York, NJ
National Provider Identifier
1497069314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA03535900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA03535900 | NJ | Primary |
| General Practice Physician | 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 DirectoryLocations
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.