Vintage Family Care,LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB05323400 Issued in NJ

Legal business name

VINTAGE FAMILY CARE,LLC.

Practice address

378 S Branch Rd
Building 3 Suite 302
Hillsborough, NJ 08844-8207

Phone

(908) 369-6700

Fax

(908) 369-1515

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Janice A Hallit, D.O.

Title

Physician

Phone

(908) 369-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1609021401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 S BRANCH RD",
            "address_2": "BUILDING 3 SUITE 302",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088448207",
            "telephone_number": "908-369-6700",
            "fax_number": "908-369-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 S BRANCH RD",
            "address_2": "BUILDING 3 SUITE 302",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088448207",
            "telephone_number": "908-369-6700",
            "fax_number": "908-369-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE FAMILY CARE,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "HALLIT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "908-369-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05323400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "666636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hillsborough, NJ
• Providers in Hillsborough, 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 Jun 2, 2009; 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.