Family Pediatrics. LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

25MA07018500 Issued in NJ

Legal business name

FAMILY PEDIATRICS. LLC

Practice address

210 Hamburg Tpke
Wayne, NJ 07470-2116

Phone

(973) 942-9191

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Iwuozo L. Obilo, M.D.

Title

President

Phone

(973) 942-9191

Specialties & licenses 1

Addresses

Other names 1

• Iwuozo Obilo Other name

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1952541963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702116",
            "telephone_number": "973-942-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702116",
            "telephone_number": "973-942-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PEDIATRICS. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "OBILO",
        "authorized_official_first_name": "IWUOZO",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-942-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NJ",
            "license": "25MA07018500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iwuozo Obilo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eye Associates of Wayne, P.a.
• Eyeluxe Eyecare LLC
• Nader Fahimi, MD
• Caesar Ralph Falen
• Family Eyecare Consultants, P.a.
• Wen - Ling Lee Fan, MD
• Andrea Gabriel Faraj, NP
• Mustafa Faraj, B.S.,PHARM.D.,R.PH.
• Farhad and Brijal LLC
• Farhad and Brijal LLC

• Exclusive Provider Organization in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Exclusive Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.