Provider Demographics
NPI:1023315223
Name:FIRST CARE PROVIDERS, LLC
Entity type:Organization
Organization Name:FIRST CARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ANP-BC
Authorized Official - Phone:973-735-1231
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-0315
Mailing Address - Country:US
Mailing Address - Phone:973-735-1231
Mailing Address - Fax:973-735-1232
Practice Address - Street 1:647 MAIN AVE STE 207
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4962
Practice Address - Country:US
Practice Address - Phone:973-735-1231
Practice Address - Fax:973-735-1232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400380833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty