Family Plus Primary Care,Rpa,PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

23-1330 Issued in NY

Legal business name

FAMILY PLUS PRIMARY CARE,RPA,PC

Practice address

8566 N Main St
Eden, NY 14057-1229

Phone

(716) 992-2512

NPI assigned

Jul 9, 2006

Last updated

Aug 22, 2020By 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

James MartinNPI 1801892948

Title

President

Phone

(716) 984-9309

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• James Allen Martin, RPAC,ARNP

  • Medical Physician Assistant
  • Glenville, NY
  • NPI 1801892948
  NPD (past) Authorized official
• Grant Wilkes Stephenson, M.D.

  • Family Medicine Physician
  • Ripley, NY
  • NPI 1720055999
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912930371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491811",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8566 N MAIN ST",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571229",
            "telephone_number": "716-992-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PLUS PRIMARY CARE,RPA,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-984-9309"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "23-1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Emergency Squad Inc
• Eden Family Dental PLLC
• Eden Heights of Eden Operating, LLC
• Eden Primary Care
• Edrnc Operating LLC (Eden Rehabilitation and Nursing Center)
• Dana L. Fazzolari
• Mackenzie Hope Franklin, RN
• Colleen Omara Griffin
• Kirsten L. Henderson, MS IN ED
• Glenn William Horrigan, DDS

• Health Service Clinic/Center in Eden, NY
• Providers in Eden, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.