FIRST CARE MEDICAL GROUP INC (NPI# 1619218542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619218542 |
| Entity Type | Organization |
| Organization Name | FIRST CARE MEDICAL GROUP INC |
| Other Organization Name | FIRST CARE MEDICAL GROUP- LYNDHURST |
| Practice Address |
750 Valley Brook Ave Lyndhurst NJ 07071-1301 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 2018960900 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA04732500 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| FIRST CARE MEDICAL GROUP- LYNDHURST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386985224 | First Care Medical Group Inc | Non-Pharmacy Dispensing Site | 50 Pompton Ave, Verona, NJ 07044-2917 | 2013-03-01 |
| Street Address |
750 VALLEY BROOK AVE |
| City | LYNDHURST |
| State | NJ |
| Zip Code | 07071-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187949 | Jennifer Lee Crawford | Physician Assistant | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2007-02-06 |
| 1003430828 | Dana Marie Stone | Nurse Practitioner | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2020-06-08 |
| 1497175996 | Mary Ellen Spohn | Physician Assistant | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2014-04-23 |
| 1235361833 | First Care Medical Group, Inc | Internal Medicine | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2009-08-14 |
| 1689852428 | William F Schmalz Jr. | Surgery | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504905 | Sarah West | Counselor | 1050 Well St West, Suite 310, Lyndhurst, NJ 07071 | 2019-05-20 |
| 1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
| 1881181733 | Vein Care Associates of Nj Inc. | Specialist | 576 Valley Brook Ave., Suite 2, Lyndhurst, NJ 07071 | 2018-04-17 |
| 1952815789 | Michael Zakko | Acupuncturist | 480 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2017-12-01 |
| 1083131544 | Core Surgery Center LLC | Clinic/Center | 256 Stuyvesant Avenue, Lyndhurst, NJ 07071 | 2017-08-25 |
| 1013446434 | Eva Pena | Counselor | 516 Valleybrook Ave., Lyndhurst, NJ 07071 | 2017-06-08 |
| 1578973392 | Boston Medical Group-new Jersey, P.a. | Urology | 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071 | 2014-05-01 |
| 1962849935 | Guardian Intraoperative Neuromomitoring | Clinic/Center | 576 Valley Brook Ave, Lyndhurst, NJ 07071 | 2013-05-30 |
| 1568736106 | Metro Anesthesia Associates LLC | Specialist | 256 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2012-02-29 |
| 1215235437 | Sanil Gandhi | Pharmacist | 321 Wilson Avenue, Lyndhurst, NJ 07071 | 2011-03-11 |
| Find all providers in zip 07071 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730503061 | United Medical PC | Non-Pharmacy Dispensing Site | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2014-02-06 |
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| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
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| 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.