SOMERSET FAMILY PRACTICE
NPI 1770833279
Clinic/Center - Primary Care in Somerville, NJ

Active since September 12, 2012CLIA 31D2090822 · Waiver
110 REHILL AVENUE, SOMERVILLE, NJ 08876(908) 685-2584 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Somerset Family Practice NPPES

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

SOMERSET FAMILY PRACTICE (NPI 1770833279) is a healthcare organization registered as a primary care in Somerville, New Jersey and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Mojy Goharie, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770833279
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOMERSET FAMILY PRACTICE
Location Address110 REHILL AVENUESomerville, NJ 08876
Mailing Address110 Rehill AvenueSomerville, NJ 08876 · (908) 685-2584
Organization SubpartYesParent: Somerset Medical Center
Authorized OfficialMojy GoharieOffice Manager · (908) 685-2584
Enumeration DateSeptember 12, 2012
NPI 1770833279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
110 REHILL AVENUE, Somerville, NJ 08876

Other Identifiers 2

Medicaid8488002NJ
Medicare PIN528959NJ

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 31D2090822

Somerset Family Practice · Somerville, NJ
Active · expires Sep 3, 2026
CLIA Number31D2090822
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorJohn L. Bucek
Laboratory Phone(908) 685-2900
Laboratory LocationSomerset Family Practice110 Rehill Avenue Family Practice Building, Somerville, NJ 08876
CLIA data matches this NPI record on: Address Name
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.

Nurse Practitioner (Family)
110 REHILL AVENUE
SOMERVILLE, NJ 08876
Physician Assistant
110 REHILL AVENUE
SOMERVILLE, NJ 08876
Pathology (Anatomic Pathology & Clinical Pathology)
110 REHILL AVENUE
SOMERVILLE, NJ 08876
Emergency Medicine
110 REHILL AVENUE, SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
Clinical Nurse Specialist (Adult Health)
110 REHILL AVENUE, SOMERSET MEDICAL CENTER
SOMERVILLE, NJ 08876
Emergency Medicine
110 REHILL AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
SOMERVILLE, NJ 08876

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 Somerset Family Practice's NPI number?

The NPI number for Somerset Family Practice is 1770833279. It was assigned to this organization in the NPPES registry on September 12, 2012.

Where is Somerset Family Practice located?

Somerset Family Practice is located at 110 Rehill Avenue, Somerville, NJ 08876. The listed phone number is (908) 685-2584.

What is Somerset Family Practice's specialty?

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

Does Somerset Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2090822) is associated with this NPI, valid through September 3, 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 Somerset Family Practice was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.