FAMILY MD LLC – NPI #1538851779
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

FAMILY MD LLC is an AHC clinic located in NEWARK, NJ. NPPES has assigned the NPI number 1538851779 to FAMILY MD LLC on May 25, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Jul 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY MD LLC below.

NPI Profile for
FAMILY MD LLC

NPI Number
1538851779
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY MD LLC
Primary location
393 MULBERRY ST STE 203
NEWARK, NJ 07102-3417
Phone: (201) 733-9222 Fax:
Mailing address
110 SQUIRE HILL RD
MONTCLAIR, NJ 07043-2516
Phone: (973) 370-4000 Fax:
Organization Subpart
No
Authorized Official
HR MANAGER
MANAGER
Phone: (973) 777-0000
Updated
Certification Date
Jul 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
261QP2300X
- Clinic/Center / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.