FAMILY MEDICAL GROUP, PC (NPI# 1215257878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215257878 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL GROUP, PC |
| Practice Address |
700 N Broad St Elizabeth NJ 07208-2310 |
| Practice Telephone | 9084360022 |
| Mailing Telephone | 9084360022 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | DR. ESSAM ABDOU OTHMAN (OWNER) |
| Authorized Official Telephone | 9084360022 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 25MA06234900 | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7077009 | 05 |
| Street Address |
700 N BROAD ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07208-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212234 | Jacob M. Plawner | Dentist | 700 N Broad St, Suite 101, Elizabeth, NJ 07208-2310 | 2005-08-16 |
| 1992154140 | Mark S Kirk Dc | Chiropractor | 700 N Broad St, Elizabeth, NJ 07208-2310 | 2016-06-08 |
| 1730589763 | Family Medical Group, P.C. | Clinic/Center | 700 N Broad St, Elizabeth, NJ 07208-2310 | 2014-08-27 |
| 1255607289 | Radium Healthcare Professional Associates | General Practice | 700 N Broad St, Suite Ll3, Elizabeth, NJ 07208-2310 | 2012-03-23 |
| 1023319712 | Edgar Koganmd Pa | Internal Medicine | 700 N Broad St, #103, Elizabeth, NJ 07208-2310 | 2010-11-11 |
| 1427201888 | Jeanette L Cullen | Chiropractor | 700 N Broad St, Suite Ll2, Elizabeth, NJ 07208-2310 | 2008-10-29 |
| 1508023763 | American Healthcare Services, P.C. | Obstetrics & Gynecology | 700 N Broad St, Suite 202, Elizabeth, NJ 07208-2310 | 2008-05-16 |
| 1740334507 | Advanced Urology Associates, P.a. | Urology | 700 N Broad St, Ste# 302, Elizabeth, NJ 07208-2310 | 2007-01-22 |
| 1114003936 | Robert Kogan | Internal Medicine | 700 N Broad St, Elizabeth, NJ 07208-2310 | 2006-10-27 |
| 1629173679 | Brett Opell | Urology | 700 N Broad St, Ste# 302, Elizabeth, NJ 07208-2310 | 2006-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591571 | Real House Inc | Clinic/Center | 419-421 Westminster Ave, Elizabeth, NJ 07208 | 2019-04-12 |
| 1548736531 | Conscientiamd | Psychiatry & Neurology | 650-652 Newark Avenue, 1st Floor, Elizabeth, NJ 07208 | 2018-10-17 |
| 1093292492 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Road, Ground Floor, Elizabeth, NJ 07208 | 2018-07-27 |
| 1457736092 | Community Access Unlimited Inc | Community/Behavioral Health | 1470 Lower Rd, Elizabeth, NJ 07208 | 2015-07-24 |
| 1811318595 | Terrell N Alston | Social Worker | 644 Salem Ave 2b, Elizabeth, NJ 07208 | 2013-12-23 |
| 1316220759 | Anarita Delacruz | Massage Therapist | 570 North Broad Street, Suite 10, Elizabeth, NJ 07208 | 2011-09-22 |
| 1972820041 | Pain Center of Morris | Chiropractor | 332 Morris Ave., Elizabeth, NJ 07208 | 2010-04-28 |
| 1760696512 | Elizabeth Public Schools | Local Education Agency (LEA) | 27 Prince Street, 2nd. Floor, Elizabeth, NJ 07208 | 2007-05-10 |
| 1437288339 | Kathleen E. Russo | Social Worker | Jewish Family Services, 655 Westfield Ave., Elizabeth, NJ 07208 | 2007-03-05 |
| 1649337171 | Springfield Pediatrics, P.a. | Pediatrics | 435 Elmora Avenue, Elizabeth, NJ 07208 | 2007-01-03 |
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| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1750507240 | County of Union, Dept. of Human Services, Division On Aging | Case Management | 10 Elizabethtown Plz, Elizabeth, NJ 07202-3451 | 2007-04-17 |
| 1699899351 | Bridgeway Rehabilitation Services | Case Management | 70 West Grand Street, Elizabeth, NJ 07202-1205 | 2007-03-19 |
| 1679180137 | Community Reunion LLC | Case Management | 263 Keats Ave, Elizabeth, NJ 07208-1059 | 2020-09-29 |
| 1235671736 | Community Access Institute | Case Management | 80 W Grand St, Elizabeth, NJ 07202-1471 | 2016-11-15 |
| 1770943193 | Community Access Unlimited | Case Management | 80 W Grand St, Elizabeth, NJ 07202-1471 | 2016-02-26 |
| 1629437728 | Bridgeway Rehabilitation Services | Case Management | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2016-02-17 |
| 1265891360 | Bridgeway Rehabilitation Services | Case Management | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2016-02-17 |
| 1811300304 | Community Access Unlimited | Case Management | 80 W Grand St, Elizabeth, NJ 07202-1471 | 2014-06-03 |
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| 1457978942 | 100kids Inc | Case Management | 192 Clinton Ave Apt 3h, Jersey City, NJ 07304-1696 | 2020-06-30 |
| 1336762111 | Shore Direct Care, LLC. | Case Management | 514 S 4th Ave, Galloway, NJ 08205-9503 | 2020-05-27 |
| 1720618523 | Behavior Intervention Group.corp | Case Management | 625 Broad St Ste 240, Newark, NJ 07102-4417 | 2020-01-21 |
| 1083253850 | Friends of Cyrus Inc | Case Management | 2245 Us Highway 130 Ste 107, Dayton, NJ 08810-2420 | 2019-12-27 |
| 1942844733 | Able Support Coordination LLC | Case Management | 147 Barry Dr N, Highland Lakes, NJ 07422-1014 | 2019-11-05 |
| 1770126286 | A Care Connection of New Jersey, LLC | Case Management | 7 Equestrian Way, Chesterfield, NJ 08515 | 2019-10-28 |
| 1194368175 | Ashanti S Michael | Case Management | 1225 Whitehorse Mercerville Rd Bldg B, Hamilton, NJ 08619-3882 | 2019-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.