Crown Family Medical Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA08693900 Issued in NJ

Legal business name

CROWN FAMILY MEDICAL CARE

Practice address

629 Amboy Ave
Suite 109
Edison, NJ 08837-3579

Phone

(732) 486-3365

Fax

(732) 486-3367

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Adedayo Aderibigbe, M.D.NPI 1528226842

Title

Medical Director

Phone

(862) 215-1678

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Adedayo Olubunmi Aderibigbe, MD

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1528226842
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1649619644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KESWICK CIR",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AMBOY AVE",
            "address_2": "SUITE 109",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373579",
            "telephone_number": "732-486-3365",
            "fax_number": "732-486-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN FAMILY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "ADERIBIGBE",
        "authorized_official_first_name": "ADEDAYO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "862-215-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA08693900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cranial Technologies Inc
• Joseph Vincent Crispino, DO
• Jacqueline Cristini, PA-C
• Lorette A. Cristino, MSW, LCSW, LCADC
• Crossroads Chemists Inc
• Rubi Alejandrina Cruz Rodriguez
• Janille Cruz
• John Randal B Cruz, PT
• Venessia Carolina Cruz
• Stefanie Cubelli, DO

• Family Medicine Physician in Edison, NJ
• Providers in Edison, 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 Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.