All Your Family Needs Primary Care, LLC

Organization Active NPI Primary Care Clinic/Center · Annandale, NJ

NPI 1629429899 · NPPES record last updated Jun 28, 2016

Key facts

NPI
1629429899
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
ALL YOUR FAMILY NEEDS PRIMARY CARE, LLC
Practice address
164 River Rd
Annandale, NJ 08801-3512
Phone
(908) 347-3168
Fax
(908) 735-0225
NPI assigned
Jun 28, 2016
Organization subpart
No

Authorized official

Name
Dr. Robert Lester Murry, M.D.
Title
Physician
Phone
(908) 752-5607

Practitioners 2

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2124934All Your Family Needs Primary Care, LLC
164 River Road, Annandale, NJ 08801
Certificate of waiverJan 26, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170515000871 NJ Part B Supplier - Clinic/Group Practice 5597042812 Receives reassigned benefits from 2 practitioners
Practice locations: Annandale, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

164 River Rd
Annandale, NJ 08801-3512

Mailing address

164 River Rd
Annandale, NJ 08801-3512
Phone (908) 347-3168

Other identifiers

IdentifierTypeStateIssuer
69922MedicaidNJ

Other providers in Annandale, NJ

All providers in Annandale, NJ · Primary Care Clinic/Center in New Jersey

Sources for this page

Verify at the official NPI Registry.