Healthy Living Family Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MP00192500 Issued in NJ

Legal business name

HEALTHY LIVING FAMILY CARE CENTER

Practice address

84 Sanford St
East Orange, NJ 07018-1927

Phone

(862) 955-3232

Fax

(862) 772-4820

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gardy Valentin, MD

Title

Medical Director

Phone

(862) 955-3232

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1538547112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181927",
            "telephone_number": "862-955-3232",
            "fax_number": "862-772-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SANFORD ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181927",
            "telephone_number": "862-955-3232",
            "fax_number": "862-772-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "GARDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "862-955-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "25MA08826900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MP00192500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.