A Medical Home for You LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07724400 Issued in NJ

Legal business name

A MEDICAL HOME FOR YOU LLC

Practice address

336 Prospect Ave
Hackensack, NJ 07601-2506

Phone

(206) 424-9157

NPI assigned

Apr 8, 2009

Last updated

Jun 14, 2009By 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

Andrew Lan

Title

Owner

Phone

(206) 424-9157

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244937600000",
    "number": "1841433729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIVER RD",
            "address_2": "PO BOX 117",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012506",
            "telephone_number": "206-424-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MEDICAL HOME FOR YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-06-14",
        "status": "A",
        "authorized_official_last_name": "LAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-424-9157"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07724400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2009; 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.