Active NPI
Hudson Primary Care Professionals
- Family Medicine Physician
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB065822
- Legal business name
- HUDSON PRIMARY CARE PROFESSIONALS
- Practice address
- 709 Newark Ave
Jersey City, NJ 07306-2803 - Phone
- (718) 743-7090
- NPI assigned
- Jan 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Fritz, DO
- Title
- President
- Phone
- (718) 743-7090
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB065822 | NJ | Primary |
Addresses
Primary practice location
709 Newark Ave
Jersey City, NJ 07306-2803
Mailing address
72 Van Reipen Ave
PO Box 234
Jersey City, NJ 07306-2806
Phone (718) 743-7090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1025147 | Hudson Primary Care Professionals | Provider-performed microscopy | Apr 29, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Hudson Primary Care Professionals
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Jersey City, NJ
- NPI 1689840811
Locations
72 Van Reipen Ave
Jersey City, NJ 07306
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Jersey City, NJ
- NPI 1316032394
-
- Pulmonary Disease Physician
- Jersey City, NJ
- NPI 1407932650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295568000000",
"number": "1952606923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 VAN REIPEN AVE",
"address_2": "PO BOX 234",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062806",
"telephone_number": "718-743-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062803",
"telephone_number": "718-743-7090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON PRIMARY CARE PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A",
"authorized_official_last_name": "FRITZ",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-743-7090",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB065822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.