Family Doctors Associates

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA059626 Issued in NJ

Legal business name

FAMILY DOCTORS ASSOCIATES

Practice address

1416 Park Ave
Plainfield, NJ 07060-2911

Phone

(908) 757-6363

Fax

(908) 754-6807

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Satya Paul Gandotra, MD

Title

President

Phone

(908) 757-6363

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1962697474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602911",
            "telephone_number": "908-757-6363",
            "fax_number": "908-754-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602911",
            "telephone_number": "908-757-6363",
            "fax_number": "908-754-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "GANDOTRA",
        "authorized_official_first_name": "SATYA",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-757-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA059626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6826105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caroline Faraone, LCSW
• Marie Moise Fevrier, LPC
• Jennifer Fiscus, PHARMD
• Gail Robyn Fishbein, R.D.H.

• Primary Care Clinic/Center in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.