| Fair Medical Services Llc | |
|
17 Augusta Dr Annandale NJ 08801-1606 | |
| (973) 652-3539 | |
| Not Available |
| Full Name | Fair Medical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17 Augusta Dr, Annandale, New Jersey |
| Authorized Official Name and Position | Hamid Masood (PRESIDENT) |
| Authorized Official Contact | 9736523539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Medical Services Llc Po Box 9559 Trenton NJ 08650-1559 Ph: (973) 652-3539 | Fair Medical Services Llc 17 Augusta Dr Annandale NJ 08801-1606 Ph: (973) 652-3539 |
| NPI Number | 1578914933 |
|---|---|
| Provider Enumeration Date | 06/28/2016 |
| Last Update Date | 06/28/2016 |
| Medicare PECOS PAC ID | 4385938711 |
|---|---|
| Medicare Enrollment ID | O20160809000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578914933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB09340900 (New Jersey) | Primary |
| Provider Name | Hamid Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689016503 PECOS PAC ID: 1759517642 Enrollment ID: I20131125000634 |
| Provider Name | Gordon Kusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457782054 PECOS PAC ID: 0244514214 Enrollment ID: I20170313000863 |
| Provider Name | Sana Naeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922533165 PECOS PAC ID: 3870862550 Enrollment ID: I20170712001498 |
All Your Family Needs Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 164 River Rd, Annandale, NJ 08801 Phone: 908-347-3168 Fax: 908-735-0225 |