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OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
NPI 1053062539
Family Medicine in Wyckoff, NJ

Active since January 16, 2022CLIA 31D2259351 · Waiver
541 CEDAR HILL AVE, WYCKOFF, NJ 07481(551) 500-5708 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2022, May 24, 2022, Jan 16, 2022 (3 updates tracked since 2022).

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

NPI1053062539
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
Location Address541 CEDAR HILL AVEWyckoff, NJ 07481-2150
Mailing Address541 Cedar Hill Ave Ste 2Wyckoff, NJ 07481-2133 · (551) 815-1000 · Fax (551) 815-1001
Phone(551) 500-5708
Organization SubpartNo
Authorized OfficialDaniel DefeoPhysician Owner · (551) 815-1000
Enumeration DateJanuary 16, 2022
Last NPPES UpdateDecember 14, 20223 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
✔ NPI 1053062539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
541 CEDAR HILL AVE, Wyckoff, NJ 07481
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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 31D2259351

Osteopathic Family Medicine Of Northern Nj · Wyckoff, NJ
Active · expires May 4, 2028
CLIA Number31D2259351
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorDaniel S. Defeo
Laboratory Phone(551) 815-1000
Laboratory LocationOsteopathic Family Medicine Of Northern Nj541 Cedar Hill Avenue, 2nd Floor, Wyckoff, NJ 07481
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 20

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

BERGEN SMILE CONFIDENCE,P.A.
Dentist
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 444-2383
GEORGE J. MARTINO, MD, PA
General Acute Care Hospital
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 447-4500
DR. STUART F. SLAVIN MD
Pediatrics
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 652-0300
KETAREVIVE, INC
Emergency Medicine
541 CEDAR HILL AVE, 2ND FLOOR
WYCKOFF, NJ 07481
Bergen County (201) 212-6735
BERGEN WEST PEDIATRIC CENTER, PA
Pediatrics
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 652-0300
SAMANTHA GOOTMAN
Nutritionist (Nutrition, Education)
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (551) 815-1000
LALA LEKHRAJ
Internal Medicine (Cardiovascular Disease)
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 447-4600
MR. TOM R WILLEMANN PT,OCS,MS
Specialist
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 251-2422

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 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.

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.