Active NPI
Vitamed Family Practice
- Adolescent Medicine (Family Medicine) Physician
- Jersey City, NJ
National Provider Identifier
1962575167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- MA5867500
- Legal business name
- VITAMED FAMILY PRACTICE
- Practice address
- 3000 Kennedy Blvd
Suite 308
Jersey City, NJ 07306 - Phone
- (201) 963-0800
- Fax
- (201) 656-6934
- NPI assigned
- Nov 16, 2006
- 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
- Tadeusz Janusz Majchrzak, MD
- Title
- President
- Phone
- (201) 963-0800
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MA5867500 | NJ | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | MA5867500 | NJ | Primary |
Addresses
Primary practice location
3000 Kennedy Blvd
Suite 308
Jersey City, NJ 07306
Mailing address
3000 Kennedy Blvd
Suite 308
Jersey City, NJ 07306
Phone (201) 963-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
646 Newark Ave
Jersey City, NJ 07306
Phone (201) 963-0800
610 Newark Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 963-0800
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 1720061070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525996800000",
"number": "1962575167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 KENNEDY BLVD",
"address_2": "SUITE 308",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07306",
"telephone_number": "201-963-0800",
"fax_number": "201-656-6934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 KENNEDY BLVD",
"address_2": "SUITE 308",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07306",
"telephone_number": "201-963-0800",
"fax_number": "201-656-6934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAMED FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2018-05-11",
"status": "A",
"authorized_official_last_name": "MAJCHRZAK",
"authorized_official_first_name": "TADEUSZ",
"authorized_official_middle_name": "JANUSZ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-963-0800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "NJ",
"license": "MA5867500",
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": "NJ",
"license": "MA5867500",
"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 May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.