Provider Demographics
NPI:1639847338
Name:FAMILY FIRST PRIMARY PHYSICIANS LLC
Entity type:Organization
Organization Name:FAMILY FIRST PRIMARY PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MONAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:732-531-0100
Mailing Address - Street 1:1910 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2715
Mailing Address - Country:US
Mailing Address - Phone:732-531-4747
Mailing Address - Fax:732-663-0044
Practice Address - Street 1:196 JACK MARTIN BLVD STE A-2
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7769
Practice Address - Country:US
Practice Address - Phone:732-458-4045
Practice Address - Fax:732-458-4979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY FIRST PRIMARY PHYSICIANS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty