Organization Active NPI

Family Medicine of Morris L.L.C.

  • Family Medicine Physician
  • Lake Hiawatha, NJ
National Provider Identifier
1952432601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB47134 Issued in NJ
Legal business name
FAMILY MEDICINE OF MORRIS L.L.C.
Practice address
124 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2205
Phone
(973) 334-1660
Fax
(973) 334-6085
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randy A Spector, D.O.NPI 1700857794
Title
Physician
Phone
(973) 334-1660

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MB47134 NJ Primary

Addresses

Primary practice location

124 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2205

Mailing address

PO Box 170
124 North Beverwyck Rd
Lake Hiawatha, NJ 07034-0170
Phone (973) 334-1660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080701000516 NJ Part B Supplier - Clinic/Group Practice 3476625765 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Hiawatha, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0104509Family Medicine of Morris LLC124 North Beverwyck Road, Lake Hiawatha, NJ 07034Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

124 N Beverwyck Rd
Lake Hiawatha, NJ 07034
Phone (973) 334-1660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952432601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "address_2": "124 NORTH BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070340170",
            "telephone_number": "973-334-1660",
            "fax_number": "973-334-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342205",
            "telephone_number": "973-334-1660",
            "fax_number": "973-334-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF MORRIS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-334-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB47134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hiawatha, NJ

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.