Organization Active NPI

Family Community Medicine LLC

  • Family Medicine Physician
  • Middletown, NJ
National Provider Identifier
1821254798
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB0626400 Issued in NJ
Legal business name
FAMILY COMMUNITY MEDICINE LLC
Practice address
8 Tindall Rd
Suite 4
Middletown, NJ 07748-2740
Phone
(732) 671-0093
Fax
(732) 671-0226
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Frances Sjovall, DONPI 1811082373
Title
Sole Member
Phone
(732) 671-0093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB0626400 NJ Primary

Addresses

Primary practice location

8 Tindall Rd
Suite 4
Middletown, NJ 07748-2740

Mailing address

8 Tindall Rd
Suite 4
Middletown, NJ 07748-2740
Phone (732) 671-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000466 NJ Part B Supplier - Clinic/Group Practice 5193873420 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, NJ

National Provider Directory

National Provider Directory

Locations

8 Tindall Rd
Ste 3A
Middletown, NJ 07748
Phone (732) 671-0093

8 Tindall Rd
Ste 3A4
Middletown, NJ 07748

8 Tindall Rd
Ste 4
Middletown, NJ 07748
Phone (732) 671-0093

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1821254798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TINDALL RD",
            "address_2": "SUITE 4",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482740",
            "telephone_number": "732-671-0093",
            "fax_number": "732-671-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TINDALL RD",
            "address_2": "SUITE 4",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482740",
            "telephone_number": "732-671-0093",
            "fax_number": "732-671-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COMMUNITY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SJOVALL",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-671-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB0626400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.