| Family Legacy Medical Care, Pa | |
|
115 Jefferson Ave Elizabeth NJ 07201-2417 | |
| (908) 351-6663 | |
| (908) 351-1760 |
| Full Name | Family Legacy Medical Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Jefferson Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Pascale Ferdinand (PHYSICIAN) |
| Authorized Official Contact | 9083516663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Legacy Medical Care, Pa 115 Jefferson Ave Elizabeth NJ 07201-2417 Ph: (908) 351-6663 | Family Legacy Medical Care, Pa 115 Jefferson Ave Elizabeth NJ 07201-2417 Ph: (908) 351-6663 |
| NPI Number | 1043704810 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 01/19/2019 |
| Medicare PECOS PAC ID | 0648510446 |
|---|---|
| Medicare Enrollment ID | O20190313002616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043704810 | NPI | - | NPPES |
| 14126510 | Other | NJ | CAQH |
| 10655985 | Other | NJ | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michel-ange E Ferdinand |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770686289 PECOS PAC ID: 9133152986 Enrollment ID: I20050913000921 |
| Provider Name | Pascale Ferdinand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487067856 PECOS PAC ID: 8628317708 Enrollment ID: I20190307001461 |
Sima S. Pandey, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N Broad St, Elizabeth, NJ 07208 Phone: 908-351-8989 Fax: 908-351-8879 | |
Edgar Koganmd Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Broad St, #103, Elizabeth, NJ 07208 Phone: 908-354-1045 Fax: 908-354-0930 | |
Blue Star Lotus Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Elmora Ave, Elizabeth, NJ 07202 Phone: 973-370-4000 Fax: 973-370-4040 | |
Mejia Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 N Broad St, Elizabeth, NJ 07208 Phone: 908-436-1002 Fax: 908-436-1109 | |
Alberto Lopez-silvero, M.d., L.l.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 Williamson St, Suite 303, Elizabeth, NJ 07202 Phone: 908-351-0500 Fax: 908-351-0585 | |
Heal Doctors Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 162 Elmora Avenue, Suite 304, Elizabeth, NJ 07202 Phone: 844-644-4325 Fax: 424-625-0010 |