ENGLEWOOD FAMILY HEALTH CENTER, P.A
NPI 1366693145
Internal Medicine in Englewood, NJ

Active since October 10, 2008
148 ENGLE ST, ENGLEWOOD, NJ 07631(201) 569-1530(201) 569-6022 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Englewood Family Health Center, P.a NPPES

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

ENGLEWOOD FAMILY HEALTH CENTER, P.A (NPI 1366693145) is a healthcare organization registered as an internal medicine in Englewood, New Jersey and active in the NPI registry since October 2008. The organization lists Diana M Portilla, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366693145
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameENGLEWOOD FAMILY HEALTH CENTER, P.A
Location Address148 ENGLE STEnglewood, NJ 07631-2581
Mailing Address148 Engle Street, Suite Number 1Englewood, NJ 07631-2581 · (201) 569-1530 · Fax (201) 569-6022
Fax(201) 569-6022
Organization SubpartNo
Authorized OfficialDiana M PortillaMedical Director · (201) 926-1828
Enumeration DateOctober 10, 2008
Last NPPES UpdateMay 10, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1366693145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
148 ENGLE ST, Englewood, NJ 07631

Other Identifiers 2

Medicaid0611859NJ
OtherG11493NJ · Upin

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Englewood Family Health Center, P.a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Englewood Family Health Center, P.A, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1487769923
148 ENGLE ST
Englewood, NJ 07631
(201) 569-1530
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Englewood Family Health Center, P.A's NPI number?

The NPI number for Englewood Family Health Center, P.A is 1366693145. It was assigned to this organization in the NPPES registry on October 10, 2008.

Where is Englewood Family Health Center, P.A located?

Englewood Family Health Center, P.A is located at 148 Engle St, Englewood, NJ 07631. The listed phone number is (201) 569-1530.

What is Englewood Family Health Center, P.A's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Englewood Family Health Center, P.A enrolled in Medicare?

Yes. Englewood Family Health Center, P.A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Englewood Family Health Center, P.A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Englewood Family Health Center, P.A. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Englewood Family Health Center, P.A was last updated on May 10, 2023. 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.