1871516344 NPI number — DR. FRANCIS JOHN FOCA M.D.

Table of content: TAYLOR SMITH RD (NPI 1710689229)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871516344 NPI number — DR. FRANCIS JOHN FOCA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOCA
Provider First Name:
FRANCIS
Provider Middle Name:
JOHN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871516344
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
56 PARROTT MILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHATHAM
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07928-2745
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
507 WESTFIELD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESTFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07090-3300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-233-4475
Provider Business Practice Location Address Fax Number:
973-635-2707
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  MA93235400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2379685 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2100009 . This is a "CHUBB" identifier . This identifiers is of the category "OTHER".
  • Identifier: 55793 . This is a "USHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: US249 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 6572 . This is a "EMPIRE BLUE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00008950 . This is a "INDEPENDENT HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0051865 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 68153 . This is a "EMPIREHEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: OK6776 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2471NJ . This is a "COSTCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 459-033NJ . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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