ETHERIDGE FAMILY MEDICINE, L.L.C. - NPI 1700954476 - Family Medicine in Somerset, NJ

Q: What is Etheridge Family Medicine, L.L.C.'s NPI number?

The NPI number for Etheridge Family Medicine, L.L.C. is 1700954476. It was assigned to this organization in the NPPES registry on December 1, 2006.

Q: What is Etheridge Family Medicine, L.L.C.'s specialty?

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

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About Etheridge Family Medicine, L.l.c. NPPES

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

ETHERIDGE FAMILY MEDICINE, L.L.C. (NPI 1700954476) is a healthcare organization registered as a family medicine in Somerset, New Jersey and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Barbara Anne Etheridge, Physician, as its authorized official.

NPPES Registry Identity

NPI1700954476

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameETHERIDGE FAMILY MEDICINE, L.L.C.

Location Address27 CLYDE RD STE 102Somerset, NJ 08873-5039

Mailing Address27 Clyde Rd Ste 102Somerset, NJ 08873-5039 · (732) 246-0057 · Fax (732) 745-7070

Phone(732) 246-0057

Fax(732) 745-7070

Organization SubpartNo

Authorized OfficialBarbara Anne EtheridgePhysician · (732) 246-0057

Enumeration DateDecember 1, 2006

Last NPPES UpdateJanuary 25, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1700954476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

27 CLYDE RD STE 102, Somerset, NJ 08873

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Other Identifiers 6

Other2K7104Acs Healthnet

Other8669281United Healthcare

Other2025674Aetna

Other2311539001Amerihealth

OtherP1087747Oxford

Other4197625010Cigna

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

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 31D1054597

Etheridge Family Medicine LLC · Somerset, NJ

Active · expires May 24, 2028

CLIA Number31D1054597

Laboratory TypePhysician Office

Certificate Effective DateMay 25, 2026

Certificate Expiration DateMay 24, 2028

Laboratory DirectorBarbara A. Etheridge MD

Laboratory Phone(732) 246-0057

Laboratory LocationEtheridge Family Medicine LLC81 Veronica Avenue Suite 202, Somerset, NJ 08873

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

BARBARA ANNE ETHERIDGE M.D.

Family Medicine