OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
NPI 1053062539
Family Medicine in Wyckoff, NJ
About Osteopathic Family Medicine Of Northern Nj Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC (NPI 1053062539) is a healthcare organization registered as a family medicine in Wyckoff, New Jersey and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Daniel Defeo, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Osteopathic Family Medicine Of Northern Nj Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Osteopathic Family Medicine Of Northern Nj LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 31D2259351
Osteopathic Family Medicine Of Northern Nj · Wyckoff, NJFrequently 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 Osteopathic Family Medicine Of Northern Nj LLC's NPI number?
The NPI number for Osteopathic Family Medicine Of Northern Nj LLC is 1053062539. It was assigned to this organization in the NPPES registry on January 16, 2022.
Where is Osteopathic Family Medicine Of Northern Nj LLC located?
Osteopathic Family Medicine Of Northern Nj LLC is located at 541 Cedar Hill Ave, Wyckoff, NJ 07481. The listed phone number is (551) 500-5708.
What is Osteopathic Family Medicine Of Northern Nj LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Osteopathic Family Medicine Of Northern Nj LLC enrolled in Medicare?
Yes. Osteopathic Family Medicine Of Northern Nj LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Osteopathic Family Medicine Of Northern Nj LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Osteopathic Family Medicine Of Northern Nj LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Osteopathic Family Medicine Of Northern Nj LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2259351) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Osteopathic Family Medicine Of Northern Nj LLC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Osteopathic Family Medicine Of Northern Nj Llc · NPI 1053062539
Family Medicine organization in Wyckoff, New Jersey. Organization record, active in the CMS NPPES registry since January 16, 2022.
## Identity
- **NPI:** 1053062539 (Entity type: Organization)
- **Enumerated:** January 16, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Daniel Defeo, PHYSICIAN OWNER
## Practice location
- **Address:** 541 CEDAR HILL AVE, Wyckoff, NJ 07481-2150
- **Phone:** (551) 500-5708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053062539) · Data from the CMS NPPES public registry.