| Center City Family Medicine, Llc | |
|
363 21st Ave Paterson NJ 07501-3640 | |
| (973) 818-1213 | |
| (973) 881-0049 |
| Full Name | Center City Family Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 363 21st Ave, Paterson, New Jersey |
| Authorized Official Name and Position | Ylonka Garcia-marotta (MEDICAL DOCTOR/OWNER) |
| Authorized Official Contact | 9738181213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center City Family Medicine, Llc 363- 21 St Avenue Paterson NJ 07501 Ph: (973) 818-1213 | Center City Family Medicine, Llc 363 21st Ave Paterson NJ 07501-3640 Ph: (973) 818-1213 |
| NPI Number | 1629396130 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 02/17/2021 |
| Medicare PECOS PAC ID | 6608282892 |
|---|---|
| Medicare Enrollment ID | O20210315000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629396130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA08389400 (New Jersey) | Primary |
| Provider Name | Ylonka M Garcia Marotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215190178 PECOS PAC ID: 5294888798 Enrollment ID: I20090731000057 |
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