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IRVINGTON FAMILY MEDICINE
NPI 1720303621
Family Medicine in Irvington, NJ

Active since April 02, 2010
852 18TH AVE, IRVINGTON, NJ 07111(973) 373-3000 Get Directions Write a Review

NPPES record last updated: April 2, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Irvington Family Medicine NPPES

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

IRVINGTON FAMILY MEDICINE (NPI 1720303621) is a healthcare organization registered as a family medicine in Irvington, New Jersey and active in the NPI registry since April 2010. The organization lists Melloney Jackson, Partner, as its authorized official.

NPPES Registry Identity

NPI1720303621
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIRVINGTON FAMILY MEDICINE
Location Address852 18TH AVEIrvington, NJ 07111-2756
Mailing Address12 Krotik PlIrvington, NJ 07111-1708 · (973) 373-3000
Phone(973) 373-3000
Organization SubpartNo
Authorized OfficialMelloney JacksonPartner · (973) 373-3000
Enumeration DateApril 2, 2010
✔ NPI 1720303621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA04275
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.
852 18TH AVE, Irvington, NJ 07111
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Other Identifiers 2

Medicaid0887307NJ
Medicare PIN117465NJ

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

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 Irvington Family Medicine's NPI number?

The NPI number for Irvington Family Medicine is 1720303621. It was assigned to this organization in the NPPES registry on April 2, 2010.

Where is Irvington Family Medicine located?

Irvington Family Medicine is located at 852 18th Ave, Irvington, NJ 07111. The listed phone number is (973) 373-3000.

What is Irvington Family Medicine'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 Irvington Family Medicine was last updated on April 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.