Family Physician, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07566000 Issued in NJ

Legal business name

FAMILY PHYSICIAN, LLC

Practice address

106 Prospect St
Ridgewood, NJ 07450-4433

Phone

(201) 689-1939

Fax

(201) 689-1935

NPI assigned

May 8, 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

Dr. Felix Fernando Pacheco, M.D.

Title

Dr.

Phone

(551) 206-8122

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jeffrey Scott Liva, MD, MPH, MS

  • Occupational Medicine Physician
  • Paramus, NJ
  • NPI 1912963885
  NPD (past)
• Dominga Sol Padilla, MD

  • Pediatrics Physician
  • Paramus, NJ
  • NPI 1033312541
  NPD (past)
• Erika Fiorella Tievsky, D.O.

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1902225584
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912956905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070260454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PROSPECT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504433",
            "telephone_number": "201-689-1939",
            "fax_number": "201-689-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "551-206-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07566000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Chiropractors of Ridgewood
• Family Dynamics LLC
• Family Medical Practice II
• Family of Caring Healthcare at Ridgewood, LLC (Family of Caring at Van Dyk)
• Family Physical Therapy of Ridgewood, L.L.C.
• Alima Bibi Farooki, M.D.
• David Alan Fascitelli, MD
• Eva Fava, LPC
• Lolita Feld, PA-C
• Howard Eric Felderman, MD

• Family Medicine Physician in Ridgewood, NJ
• Providers in Ridgewood, 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 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.