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VITAMED FAMILY PRACTICE
NPI 1962575167
Family Medicine - Adolescent Medicine in Jersey City, NJ

Active since November 16, 2006CLIA 31D0994093 · Waiver
3000 KENNEDY BLVD, SUITE 308, JERSEY CITY, NJ 07306(201) 963-0800(201) 656-6934 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2018, Mar 29, 2016 (2 updates tracked since 2016).

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

NPI1962575167
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameVITAMED FAMILY PRACTICE
Location Address3000 KENNEDY BLVD, SUITE 308Jersey City, NJ 07306
Mailing Address3000 Kennedy Blvd, Suite 308Jersey City, NJ 07306 · (201) 963-0800 · Fax (201) 656-6934
Phone(201) 963-0800
Fax(201) 656-6934
Organization SubpartNo
Authorized OfficialTadeusz Janusz MajchrzakPresident · (201) 963-0800
Enumeration DateNovember 16, 2006
Last NPPES UpdateMay 11, 20182 updates tracked since enumeration
✔ NPI 1962575167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License✔ Licensed in NJ · MA5867500
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Also ListedLegal MedicineTaxonomy 173000000X · License MA5867500 (NJ)
3000 KENNEDY BLVD, Jersey City, NJ 07306
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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, NJ
Active · expires Dec 3, 2027
CLIA Number31D0994093
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorTadeusz J. Majchrzak
Laboratory Phone(201) 963-0800
Laboratory LocationVita-Med Family Practice3000 Kennedy Boulevard, Suite 308, Jersey City, NJ 07306
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. SIRISHA REDDY CHITLU D.D.S
Dentist
3000 KENNEDY BLVD
JERSEY CITY, NJ 07306
Hudson County (201) 659-7717
JERSEY SMILES
Dentist (Prosthodontics)
3000 KENNEDY BLVD
JERSEY CITY, NJ 07306
Hudson County (201) 659-7717
DR. ALAA MOHSEN BDS, MS, MPH
Dentist
3000 KENNEDY BLVD
JERSEY CITY, NJ 07306
Hudson County (201) 216-9901

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 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.

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.

What insurance does Vitamed Family Practice accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Vitamed Family Practice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.