Hoboken Family Practice, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA4143300 Issued in NJ

Legal business name

HOBOKEN FAMILY PRACTICE, PC

Practice address

108 Washington St
Hoboken, NJ 07030-4659

Phone

(201) 656-5688

Fax

(201) 656-8975

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Angelo Albert Demarco, M.D.

Title

Partner

Phone

(201) 656-5688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1598703142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304659",
            "telephone_number": "201-656-5688",
            "fax_number": "201-656-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304659",
            "telephone_number": "201-656-5688",
            "fax_number": "201-656-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBOKEN FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-656-5688",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA4143300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3179401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.