OUR FAMILY PRACTICE
NPI 1811201189
Non-Pharmacy Dispensing Site in Brick, NJ
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 31D0977315
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-23-2026
About OUR FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Our Family Practice, a provider established in Brick, New Jersey operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1811201189 assigned on July 2010. The practitioner's primary taxonomy code is 332900000X with license number 25MA05883600 (NJ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Our Family Practice. The authorized official of this NPI record is Kenny Heine (Sr. Director Operations)
- NPI
- 1811201189 Verify this NPI
- Provider Legal Name
- OUR FAMILY PRACTICE LLC
- Other Organization Name
- OUR FAMILY PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1899 STATE HIGHWAY 88 BRICK, NJ 08724
- Location Phone
- (732) 840-8177
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-29-2010
- Last Update Date
- 10-23-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 25MA05883600
- License State
- NJ
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D0977315
- Facility Type
- Physician Office
- Certificate Effective Date
- August 24, 2024
- Certificate Expiration Date
- August 23, 2026
- Laboratory Director
- MICHAEL A. CASCARINA MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Our Family Practice in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811201189, enumerated as an "organization" on July 29, 2010.
The provider is located at 1899 STATE HIGHWAY 88 BRICK, NJ 08724 and the phone number is (732) 840-8177.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
