360 NEW JERSEY MEDICAL GROUP PROFESSIONAL CORPORATION
NPI 1568394765
Family Medicine in Elizabeth, NJ

Active since June 01, 2026
1139 E JERSEY ST, ELIZABETH, NJ 07201(551) 372-9260 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About 360 New Jersey Medical Group Professional Corporation NPPES

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

360 NEW JERSEY MEDICAL GROUP PROFESSIONAL CORPORATION (NPI 1568394765) is a healthcare organization registered as a family medicine in Elizabeth, New Jersey and active in the NPI registry since June 2026. The organization lists James Villar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568394765
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name360 NEW JERSEY MEDICAL GROUP PROFESSIONAL CORPORATION
Location Address1139 E JERSEY STElizabeth, NJ 07201-2473
Mailing Address971 Us Highway 202 N Ste NBranchburg, NJ 08876-3757 · (551) 372-9260
Organization SubpartNo
Authorized OfficialJames VillarAdministrator · (773) 645-1192
Enumeration DateJune 1, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1568394765 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 ListedIntegrative MedicineTaxonomy 202D00000X
1139 E JERSEY ST, Elizabeth, NJ 07201

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

Other Providers at the Same Location NPPES 4

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

Social Worker
1139 E JERSEY ST
ELIZABETH, NJ 07201
In Home Supportive Care
1139 E JERSEY ST
ELIZABETH, NJ 07201
Community/Behavioral Health
1139 E JERSEY ST, SUITE 417
ELIZABETH, NJ 07201
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
1139 E JERSEY ST, SUITE 504
ELIZABETH, NJ 07201

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 360 New Jersey Medical Group Professional Corporation's NPI number?

The NPI number for 360 New Jersey Medical Group Professional Corporation is 1568394765. It was assigned to this organization in the NPPES registry on June 1, 2026.

Where is 360 New Jersey Medical Group Professional Corporation located?

360 New Jersey Medical Group Professional Corporation is located at 1139 E Jersey St, Elizabeth, NJ 07201. The listed phone number is (551) 372-9260.

What is 360 New Jersey Medical Group Professional Corporation'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 360 New Jersey Medical Group Professional Corporation was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.