Family Medical Specialist PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA03169500 Issued in NJ

Legal business name

FAMILY MEDICAL SPECIALIST PA

Practice address

534 21St Ave
Paterson, NJ 07513-1337

Phone

(973) 653-9669

NPI assigned

Mar 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jose Lopez

Title

Manager

Phone

(973) 653-9669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1942523105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131337",
            "telephone_number": "973-653-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131337",
            "telephone_number": "973-653-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-653-9669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA03169500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan William Fairweather, MD
• Shari Fallet, D.O.
• Family Care of New Jersey
• Family Health Services
• Family Intervention Services Inc
• Fouad Faragalla
• Maryam Farahmand, RPH
• Xiomara Jazmin Farfan
• Farmacias del Pueblo II
• Farmacias del Pueblo LLC

• General Practice Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.