| New Jersey Family Medical | |
|
27 South Ave W Cranford NJ 07016-2660 | |
| (908) 275-3810 | |
| (908) 275-8825 |
| Full Name | New Jersey Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 27 South Ave W, Cranford, New Jersey |
| Authorized Official Name and Position | Robert Lukenda (OWNER) |
| Authorized Official Contact | 9082753810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Family Medical 27 South Ave W Cranford NJ 07016-2660 Ph: (908) 275-3810 | New Jersey Family Medical 27 South Ave W Cranford NJ 07016-2660 Ph: (908) 275-3810 |
| NPI Number | 1477845055 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 04/18/2024 |
| Medicare PECOS PAC ID | 9537345806 |
|---|---|
| Medicare Enrollment ID | O20110520000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB08803900 (New Jersey) | Primary |
| Provider Name | Robert Allyn Lukenda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144470600 PECOS PAC ID: 1759567472 Enrollment ID: I20110520000701 |
| Provider Name | Beth A Scaldino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942649777 PECOS PAC ID: 0941420913 Enrollment ID: I20140926000037 |
| Provider Name | Lynn C Colombo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871931204 PECOS PAC ID: 9638476971 Enrollment ID: I20160818000275 |
| Provider Name | Melissa R Polley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614823 PECOS PAC ID: 0143509760 Enrollment ID: I20161122000631 |
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