PETROVANI FAMILY MEDICINE PLLC
NPI 1124533443
Family Medicine in Fords, NJ

Active since December 08, 2017
10 PARKER PL, FORDS, NJ 08863(646) 759-5453(646) 374-4940 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2019, Dec 8, 2017 (2 updates tracked since 2017).

About Petrovani Family Medicine Pllc NPPES

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

PETROVANI FAMILY MEDICINE PLLC (NPI 1124533443) is a healthcare organization registered as a family medicine in Fords, New Jersey and active in the NPI registry since December 2017. The organization maintains 2 additional practice locations and lists Mark Petrovani, Owner, as its authorized official.

NPPES Registry Identity

NPI1124533443
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePETROVANI FAMILY MEDICINE PLLC
Location Address10 PARKER PLFords, NJ 08863
Mailing Address10 Parker PlFords, NJ 08863-2400 · Fax (646) 374-4940
Fax(646) 374-4940
Organization SubpartNo
Authorized OfficialMark PetrovaniOwner · (845) 425-4888
Enumeration DateDecember 8, 2017
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
NPI 1124533443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 195910
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.
10 PARKER PL, Fords, NJ 08863

Secondary Practice Locations 2

Location 151 Carver TerYonkers, NY 10710-3730 · Phone (917) 858-3293
Location 21436 Williamsbridge RdBronx, NY 10461 · Phone (646) 759-5453 · Fax (646) 374-4940

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine
10 PARKER PL
FORDS, NJ 08863

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 Petrovani Family Medicine PLLC's NPI number?

The NPI number for Petrovani Family Medicine PLLC is 1124533443. It was assigned to this organization in the NPPES registry on December 8, 2017.

Where is Petrovani Family Medicine PLLC located?

Petrovani Family Medicine PLLC is located at 10 Parker Pl, Fords, NJ 08863. The listed phone number is (646) 759-5453.

What is Petrovani Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Petrovani Family Medicine PLLC was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.