Provider Demographics
NPI:1174961189
Name:FAMILY FIRST PRIMARY PHYSICIANS LLC
Entity type:Organization
Organization Name:FAMILY FIRST PRIMARY PHYSICIANS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOJARES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-531-0100
Mailing Address - Street 1:1803 HIGHWAY 35 SOUTH
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2700
Mailing Address - Country:US
Mailing Address - Phone:732-531-0100
Mailing Address - Fax:732-531-0144
Practice Address - Street 1:1910 HIGHWAY 35 SOUTH
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2715
Practice Address - Country:US
Practice Address - Phone:732-531-4747
Practice Address - Fax:732-663-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07213400261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care