FAMILY MEDICINE GROUP LLC (NPI# 1376842914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376842914 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE GROUP LLC |
| Practice Address |
73 Clark St Bloomingdale NJ 07403-1300 |
| Mailing Address |
215 W Front St Suite D Plainfield NJ 07060-1166 |
| Practice Telephone | 9088229700 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | DR. CHANDRA MANGRA (MD) |
| Authorized Official Telephone | 9739084754 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
73 CLARK ST |
| City | BLOOMINGDALE |
| State | NJ |
| Zip Code | 07403-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326158197 | Hedoneia Jaaj | Physician Assistant | 34 A Main Street, Bloomingdale, NJ 07403 | 2006-08-30 |
| 1871669408 | Roshanak Elmendorf | Dentist | 142 Main Street, Bloomingdale, NJ 07403 | 2006-11-27 |
| 1316290976 | Jessica Rodriguez | Behavioral Analyst | 3 Waterfall Ct, Bloomingdale, NJ 07403-1030 | 2012-10-19 |
| 1265068167 | Alpha and Omega Industries LLC | Nutritionist | 37 Waterfall Ct, Bloomingdale, NJ 07403-1038 | 2020-03-23 |
| 1760416911 | Pilot Medical Services, LLC | Ambulance | 13 1st St # 15, Unit 3, Bloomingdale, NJ 07403-1213 | 2006-07-11 |
| 1932526399 | Justine Renee Krougliak | Nurse Practitioner | 125 Clark St, Bloomingdale, NJ 07403-1311 | 2014-03-24 |
| 1154885119 | Dawn Fuller | Counselor | 1 James Ave, Bloomingdale, NJ 07403-1316 | 2019-01-24 |
| 1043689540 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Winfred Ct, Bloomingdale, NJ 07403-1327 | 2015-09-15 |
| 1912158015 | David Kingsley | Radiology | 119 Demarest Rd, Bloomingdale, NJ 07403-1404 | 2008-10-07 |
| 1912293887 | Jennifer Adams-barsch | Social Worker | 23 South Rd, Bloomingdale, NJ 07403-1425 | 2011-06-20 |
| Find all providers in zip 07403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| 1942482146 | Bloomingdale Family Practice S.c | Family Medicine | 245 S Gary Ave Ste 204, Bloomingdale, IL 60108-2218 | 2007-11-29 |
| 1043431661 | Frank B Fung | Family Medicine | 235 S Gary Avenue, Bloomingdale, IL 60108 | 2007-05-01 |
| 1104965557 | Marcia E Neil | Family Medicine | 235 S Gary Ave, Cdh Convenient Care At Stratford North, Bloomingdale, IL 60108-2213 | 2007-02-05 |
| 1609807908 | Michael F Vosicky | Family Medicine | 290 Springfield Dr Ste 290, Bloomingdale, IL 60108-2293 | 2006-07-05 |
| 1073549424 | Stratford Physical Medicine Ltd | Family Medicine | 290 Springfiled Drive, Suite 255, Bloomingdale, IL 60108-2293 | 2006-06-25 |
| 1740225267 | Adventist Health Partners,inc | Family Medicine | 129 Fairfield Way, Suite 116, Bloomingdale, IL 60108-1560 | 2006-06-18 |
| 1013968239 | Imelda Andaya Sia | Family Medicine | 113 W Lake St, Bloomingdale, IL 60108-1006 | 2006-05-12 |
| 1881652188 | Eric D. Beachy | Family Medicine | 201 W Academy St, Bloomingdale, IN 47832-8095 | 2006-05-03 |
| 1033195680 | Mary L Biskup | Family Medicine | 170 S Bloomingdale Rd, Suite 200, Bloomingdale, IL 60108-1470 | 2005-12-15 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 07403 |
Please comment or provide details below to improve the information on FAMILY MEDICINE GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.