NPIMap

Organization Active NPI

Mi Familia Practice

  • Adult Medicine Physician
  • Pennsauken, NJ
National Provider Identifier
1568290765
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
MI FAMILIA PRACTICE
Practice address
6312 Browning Rd Apt 318
Pennsauken, NJ 08109-1578
Phone
(856) 655-9550
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Iynez MendezNPI 1467295113
Title
MD
Phone
(856) 655-9550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

6312 Browning Rd Apt 318
Pennsauken, NJ 08109-1578

Mailing address

6312 Browning Rd Apt 318
Pennsauken, NJ 08109-1578
Phone (856) 655-9550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1568290765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 BROWNING RD APT 318",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091578",
            "telephone_number": "856-655-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 BROWNING RD APT 318",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091578",
            "telephone_number": "856-655-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI FAMILIA PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "IYNEZ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "856-655-9550"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.