Somerset Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOMERSET FAMILY PRACTICE

Practice address

110 Rehill Avenue
Somerville, NJ 08876

Phone

(908) 685-2584

NPI assigned

Sep 12, 2012

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

SOMERSET MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mojy Goharie

Title

Office Manager

Phone

(908) 685-2584

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Faculty Family Practice at Somerset LLC

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1770833279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REHILL AVENUE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-685-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REHILL AVENUE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "08876",
            "telephone_number": "908-685-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMERSET MEDICAL CENTER",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "GOHARIE",
        "authorized_official_first_name": "MOJY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-685-2584"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8488002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Somerset County YMCA
• Somerset Ear Nose &Throat Ass PA
• Somerset Emergency Medical Associates LLC
• Somerset ENT Associates
• Somerset Family Planning Services Inc (Womens Health and Counseling Center)
• Somerset Hematology-Oncology Associates, P.a.
• Somerset Internal Medicine & Pulmonary Associates,LLC
• Somerset Medical Care Partners,PC
• Somerset Medical Center (Steeplechase Boutique)
• Somerset Medical Center (SMC Cardiology)

• Primary Care Clinic/Center in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.