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ANNANDALE FAMILY PRACTICE LLC
NPI 1003080169
Clinic/Center - Primary Care in Lebanon, NJ

Active since April 18, 2008CLIA 31D2000052 · Waiver
56 PAYNE RD, SUITE 21, LEBANON, NJ 08833(908) 238-0100(908) 238-0951 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annandale Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNANDALE FAMILY PRACTICE LLC (NPI 1003080169) is a healthcare organization registered as a primary care in Lebanon, New Jersey and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Theresa Ann Sacchieri, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1003080169
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameANNANDALE FAMILY PRACTICE LLC
Location Address56 PAYNE RD, SUITE 21Lebanon, NJ 08833-3262
Mailing Address56 Payne Rd, Suite 21Lebanon, NJ 08833-3262 · (908) 238-0100 · Fax (908) 238-0951
Phone(908) 238-0100
Fax(908) 238-0951
Organization SubpartNo
Authorized OfficialTheresa Ann SacchieriProvider/owner · (201) 314-1139
Enumeration DateApril 18, 2008
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1003080169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 25MA07764100
56 PAYNE RD, Lebanon, NJ 08833
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2000052

Annandale Family Practice, LLC · Lebanon, NJ
Active · expires Nov 18, 2027
CLIA Number31D2000052
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorTheresa Sacchiari MD
Laboratory Phone(908) 238-0100
Laboratory LocationAnnandale Family Practice, LLC56 Payne Road, Suite 21, Lebanon, NJ 08833
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNANDALE FAMILY PRACTICE LLC
Non-Pharmacy Dispensing Site
56 PAYNE RD, SUITE 21
LEBANON, NJ 08833
Hunterdon County (908) 238-0100
DR. THERESA ANN SACCHIERI M.D.
Family Medicine
56 PAYNE RD, SUITE 21
LEBANON, NJ 08833
Hunterdon County (908) 238-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annandale Family Practice LLC's NPI number?

The NPI number for Annandale Family Practice LLC is 1003080169. It was assigned to this organization in the NPPES registry on April 18, 2008.

Where is Annandale Family Practice LLC located?

Annandale Family Practice LLC is located at 56 Payne Rd Suite 21, Lebanon, NJ 08833. The listed phone number is (908) 238-0100.

What is Annandale Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Annandale Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2000052) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Annandale Family Practice LLC was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.