Etheridge Family Medicine, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ETHERIDGE FAMILY MEDICINE, L.L.C.

Practice address

27 Clyde Rd Ste 102
Somerset, NJ 08873-5039

Phone

(732) 246-0057

Fax

(732) 745-7070

NPI assigned

Dec 1, 2006

Last updated

Jan 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Anne Etheridge, M.D.NPI 1184792814

Title

Physician

Phone

(732) 246-0057

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Anne Etheridge, M.D.

  • Family Medicine Physician
  • Somerset, NJ
  • NPI 1184792814
  Medicare reassignment NPD Authorized official
• Carmen Josephine Hurtado, RN, MSN, NP

  • Adult Health Nurse Practitioner
  • Manalapan, NJ
  • NPI 1962287763
  Medicare reassignment NPD
• Caren Bautista Mamaradlo

  • Primary Care Nurse Practitioner
  • Stewartsville, NJ
  • NPI 1538978176
  Medicare reassignment
• Jessica Chen, PA-C

  • Physician Assistant
  • Wilkes Barre, PA
  • NPI 1750932968

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1700954476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CLYDE RD STE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735039",
            "telephone_number": "732-246-0057",
            "fax_number": "732-745-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CLYDE RD STE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735039",
            "telephone_number": "732-246-0057",
            "fax_number": "732-745-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHERIDGE FAMILY MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-246-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2311539001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2025674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTHNET",
            "identifier": "2K7104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1087747",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4197625010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8669281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Engelhart, PH.D.
• Christopher William Engler, BCBA
• Enhanced Benefits, Inc (Senior Support Services)
• Sharon C Enos, ARNP
• Rebecca Enyioko, LPN
• Barbara Anne Etheridge, M.D.
• Evaluation and Care LLC
• Shannon Nicole Evans
• Evas Home Care NJ LLC
• Everas Community Services, Inc.

• Family Medicine Physician in Somerset, NJ
• Providers in Somerset, 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 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.