Organization Active NPI

Family Health First P.a.

  • Specialist
  • Clifton, NJ
National Provider Identifier
1982864294
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06993200 Issued in NJ
Legal business name
FAMILY HEALTH FIRST P.A.
Practice address
1300 Main Ave
Suite 2D
Clifton, NJ 07011-2266
Phone
(973) 246-6901
Fax
(973) 246-6902
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Dr. William V Lagrada, MD
Title
Owner
Phone
(732) 549-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 25MA06993200 NJ Primary

Addresses

Primary practice location

1300 Main Ave
Suite 2D
Clifton, NJ 07011-2266

Mailing address

1300 Main Ave
Suite 2D
Clifton, NJ 07011-2266
Phone (973) 246-6901

Other identifiers 2

IdentifierTypeStateIssuer
0033855MedicaidNJ
9X3221OtherNJMEDICARE ID-TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1982864294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "SUITE 2D",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-246-6901",
            "fax_number": "973-246-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MAIN AVE",
            "address_2": "SUITE 2D",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112266",
            "telephone_number": "973-246-6901",
            "fax_number": "973-246-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH FIRST P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "LAGRADA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-549-3490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06993200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033855",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "9X3221",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.