FAMILY MEDICINE OF EAST BRUSNWICK
NPI 1497483960
Clinic/Center - Primary Care in East Brunswick, NJ

Active since August 11, 2022CLIA 31D2272794 · Waiver
647 ROUTE 18 STE A, EAST BRUNSWICK, NJ 08816(732) 947-6805 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Aug 11, 2022 (2 updates tracked since 2022).

About Family Medicine Of East Brusnwick NPPES

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

FAMILY MEDICINE OF EAST BRUSNWICK (NPI 1497483960) is a healthcare organization registered as a primary care in East Brunswick, New Jersey and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Vikas Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1497483960
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY MEDICINE OF EAST BRUSNWICK
Location Address647 ROUTE 18 STE AEast Brunswick, NJ 08816-3747
Mailing Address14 Hilltop BlvdEast Brunswick, NJ 08816-2832 · (732) 947-6805
Organization SubpartNo
Authorized OfficialVikas ShahOwner · (732) 947-6805
Enumeration DateAugust 11, 2022
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1497483960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
647 ROUTE 18 STE A, East Brunswick, NJ 08816

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 31D2272794

Family Medicine Of East Brunswick · East Brunswick, NJ
Active · expires Nov 28, 2026
CLIA Number31D2272794
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorVikas M. Shah
Laboratory Phone(732) 947-6805
Laboratory LocationFamily Medicine Of East Brunswick647 Route 18, Ste A, East Brunswick, NJ 08816
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Dentist
647 ROUTE 18 STE A
EAST BRUNSWICK, NJ 08816
Family Medicine
647 ROUTE 18 STE A
EAST BRUNSWICK, NJ 08816
Dentist (General Practice)
647 ROUTE 18 STE A
EAST BRUNSWICK, NJ 08816

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 Family Medicine Of East Brusnwick's NPI number?

The NPI number for Family Medicine Of East Brusnwick is 1497483960. It was assigned to this organization in the NPPES registry on August 11, 2022.

Where is Family Medicine Of East Brusnwick located?

Family Medicine Of East Brusnwick is located at 647 Route 18 Ste A, East Brunswick, NJ 08816. The listed phone number is (732) 947-6805.

What is Family Medicine Of East Brusnwick's specialty?

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

Does Family Medicine Of East Brusnwick hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2272794) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Medicine Of East Brusnwick was last updated on October 20, 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.