Vitamed Family Practice in Jersey City - Adolescent Medicine
Vitamed Family Practice - NPI 1962575167
Vitamed Family Practice is a Adolescent Medicine in Jersey City, New Jersey. Vitamed Family Practice practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Vitamed Family Practice is 1962575167. The last update date is 2018-05-11.
Vitamed Family Practice's current location address is 3000 Kennedy Blvd, Jersey City, New Jersey. You can contact this provider via phone number 2019630800 and fax number 2016566934. The mailing address for Vitamed Family Practice is 3000 Kennedy Blvd, Jersey City, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Vitamed Family Practice |
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Address | 3000 Kennedy Blvd, Jersey City, New Jersey |
Phone Number | 2019630800 |
Fax Number | 2016566934 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Majchrzak Janusz Tadeusz |
Credentials | MD |
Telephone Number | 2019630800 |
NPI Number Detail
NPI Number | 1962575167 |
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Provider Enumeration Date | 2006-11-16 |
Last Updated Date | 2018-05-11 |
Provider Mailing Address Detail
Address | 3000 Kennedy Blvd |
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City | Jersey City |
State | New Jersey (NJ) |
Post Code | 7306 |
Phone Number | 2019630800 |
Fax Number | 2016566934 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Qa0000X |
Licence No | MA5867500 |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
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What is the unique 10-digit identification code issued to Vitamed Family Practice by the Centers for Medicare & Medicaid Services?
The Vitamed Family Practice has been assigned the NPI (National Provider Identifier) 1962575167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Vitamed Family Practice is physically located?
The Vitamed Family Practice is physically situated at the following address: 3000 Kennedy Blvd, Jersey City, NJ, 7306.
What is Vitamed Family Practice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vitamed Family Practice's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962575167 to Vitamed Family Practice?
The Vitamed Family Practice received its 1962575167 assignment from the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date were the details related to Vitamed Family Practice most recently updated or revised?
The information pertaining to Vitamed Family Practice, including its address, specialty, and other relevant details, was last updated or revised on 2018-05-11.