Premier Family Medical, Pc

LBN: Premier Family Medical, Pc
Premier Family Medical, Pc is an health care organization with primary practice located at 110 Bloomfield Ave , Caldwell NJ 07006-5336. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Premier Family Medical, Pc can be contacted via phone (973) 403-3200, or through Mazzoccoli, Vito via phone (973) 403-3200.

Contact Information

Primary practice address
110 Bloomfield Ave Caldwell NJ 07006-5336
Phone: (973) 403-3200
Fax: (973) 403-3250
Website:
Map and Directions
Authorized official contact:
Name: Mazzoccoli, Vito Doctor of Medicine (MD)
Phone: (973) 403-3200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA072343 New Jersey

Profile Details

NPI number 1891740643
LBN Legal business name Premier Family Medical, Pc
DBA Doing business as
Authorized official Mazzoccoli, Vito Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891740643 NPPES
New Jersey MEDICAID 0029483

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