CROWN FAMILY MEDICAL CARE (NPI# 1649619644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649619644 |
| Entity Type | Organization |
| Organization Name | CROWN FAMILY MEDICAL CARE |
| Practice Address |
629 Amboy Ave Suite 109 Edison NJ 08837-3579 |
| Mailing Address |
807 Lilly Ln Ewing NJ 08638-2029 |
| Practice Telephone | 7324863365 |
| Practice Fax Number | 7324863367 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | DR. ADEDAYO ADERIBIGBE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8622151678 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MA08693900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
629 AMBOY AVE SUITE 109 |
| City | EDISON |
| State | NJ |
| Zip Code | 08837-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895453 | Stephen Neil Resnick | Dentist | 629 Amboy Ave, Edison, NJ 08837-3579 | 2005-07-17 |
| 1295249571 | Ruchita Patel | Physical Therapist | 629 Amboy Ave, Edison, NJ 08837-3579 | 2017-11-25 |
| 1033623426 | Kulwant Kaur | Physical Therapist | 629 Amboy Ave, Edison, NJ 08837-3579 | 2017-11-22 |
| 1295192706 | Derrick M Desilva Jr. M.d. LLC | Internal Medicine | 629 Amboy Ave, 2nd Floor, Edison, NJ 08837-3579 | 2016-01-28 |
| 1699110544 | Alliance for Disabled In Action, Inc. | Case Management | 629 Amboy Ave, Edison, NJ 08837-3579 | 2013-05-06 |
| 1679825871 | Comprehensive Geriatrics Inc | Family Medicine | 629 Amboy Ave, 3rd Floor, Edison, NJ 08837-3579 | 2012-10-11 |
| 1598074759 | Derrick M. Desilva, Jr. Md | Non-Pharmacy Dispensing Site | 629 Amboy Ave, Edison, NJ 08837-3579 | 2010-10-05 |
| 1083923585 | Derrick M. Desilva, Jr. Md | Non-Pharmacy Dispensing Site | 629 Amboy Ave, Edison, NJ 08837-3579 | 2010-09-30 |
| 1528226842 | Adedayo Olubunmi Aderibigbe | Family Medicine | 629 Amboy Ave, Ste 109, Edison, NJ 08837-3579 | 2008-05-23 |
| 1467541755 | Derrick M Desilva Jr. | Internal Medicine | 629 Amboy Ave, Edison, NJ 08837-3579 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1134783640 | Prathyusha Bala Lanka | Physical Therapist | 132 Evergreen Road, Edison, NJ 08837 | 2019-04-30 |
| 1801363049 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2500 Menlo Park Mall, Edison, NJ 08837 | 2018-10-25 |
| 1548796980 | Christina Iacuzio | Behavior Technician | 10 Parsonage Rd, Suite 318, Edison, NJ 08837 | 2017-05-04 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1881035541 | Wright Medical Response LLC | Non-emergency Medical Transport (VAN) | 3181 Woodbridge Avenue, Edison, NJ 08837 | 2013-07-10 |
| 1073852216 | Edison Township Board of Education | Local Education Agency (LEA) | 312 Pierson Avenue, Edison, NJ 08837 | 2013-02-07 |
| 1184974578 | Rock M Olofernes | Occupational Therapist | 148 Safran Ave, Edison, NJ 08837 | 2012-09-13 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1215259528 | Surgical Associates Middlesex County | Surgery | 2 Lincoln Ave Ste 402, Edison, NJ 08837 | 2010-02-28 |
| Find all providers in zip 08837 | ||||
| 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 |
|---|---|---|---|---|
| 1922501568 | Seri Kwon | Family Medicine | 67 Carriage Pl, Edison, NJ 08820-4018 | 2018-03-09 |
| 1760902100 | Paul J Kang | Family Medicine | 1921 Oak Tree Rd Ste 103, Edison, NJ 08820-2073 | 2017-06-27 |
| 1760929392 | Samrana Arefeen | Family Medicine | 2090 Highway 27, Edison, NJ 08817-3372 | 2017-01-20 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1154760379 | Edison Healthcare Management LLC | Family Medicine | 1717 Lincoln Hwy, Edison, NJ 08817-3471 | 2013-06-20 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1043452881 | Surgicure LLC | Family Medicine | 200 W Grant Ave, Edison, NJ 08820-1333 | 2009-03-25 |
| 1740318559 | Meenakshi Kukreja | Family Medicine | 3537 Progress St, Suite B5, Edison, NJ 08820-1102 | 2007-03-01 |
| 1124188412 | Karl Otto Schwarz | Family Medicine | 327 N Eighth Ave, Edison, NJ 08817-2914 | 2006-12-09 |
| 1356457725 | M. Mohammed Nisar Md Pa | Family Medicine | 1895 Oak Tree Rd, Edison, NJ 08820-2122 | 2006-08-21 |
| Find all providers in EDISON | ||||
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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.