# FAMILY MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962176479
- **Authorized official:** MR. HR MANAGER (MANAGER)
- **Authorized official phone:** (973) 777-0000

## Contact information

- **Practice address:** 393 MULBERRY ST STE 203, NEWARK, NJ 07102-3417
- **Practice address phone:** (201) 733-9222
- **Practice address fax:** (201) 777-7132
- **Mailing address:** 110 SQUIRE HILL RD, MONTCLAIR, NJ 07043-2516
- **Mailing address phone:** (973) 370-4000
- **Mailing address fax:** (973) 370-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2021
- **Last updated:** 07/29/2025