VITAMED FAMILY PRACTICE
NPI 1962575167
Family Medicine - Adolescent Medicine in Jersey City, NJ
About Vitamed Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAMED FAMILY PRACTICE (NPI 1962575167) is a healthcare organization registered as an adolescent medicine in Jersey City, New Jersey and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Tadeusz Janusz Majchrzak, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitamed Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vitamed Family Practice, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 31D0994093
Vita-Med Family Practice · Jersey City, NJFrequently 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 Vitamed Family Practice's NPI number?
The NPI number for Vitamed Family Practice is 1962575167. It was assigned to this organization in the NPPES registry on November 16, 2006.
Where is Vitamed Family Practice located?
Vitamed Family Practice is located at 3000 Kennedy Blvd Suite 308, Jersey City, NJ 07306. The listed phone number is (201) 963-0800.
What is Vitamed Family Practice's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.
Is Vitamed Family Practice enrolled in Medicare?
Yes. Vitamed Family Practice is registered in the Medicare PECOS enrollment system.
When is Vitamed Family Practice's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Vitamed Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Vitamed Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vitamed Family Practice hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0994093) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vitamed Family Practice was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Vitamed Family Practice · NPI 1962575167
Adolescent Medicine organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1962575167 (Entity type: Organization)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Family Medicine - Adolescent Medicine · taxonomy 207QA0000X
- **Organization subpart:** No
- **Authorized official:** Tadeusz Majchrzak, PRESIDENT
## Practice location
- **Address:** 3000 KENNEDY BLVD, SUITE 308, Jersey City, NJ 07306
- **Phone:** (201) 963-0800 · **Fax:** (201) 656-6934
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962575167) · Data from the CMS NPPES public registry.