OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
NPI 1053062539
Family Medicine in Wyckoff, NJ

NPI Status: Active since January 16, 2022

Contact Information

541 CEDAR HILL AVE
WYCKOFF, NJ
ZIP 07481
Phone: (551) 500-5708

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  • Organization
  • Family Medicine
  • CLIA Number: 31D2259351
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-04-2026

About OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC

This page provides the complete NPI Profile along with additional information for Osteopathic Family Medicine Of Northern Nj Llc, a primary care provider established in Wyckoff, New Jersey operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1053062539 assigned on January 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Daniel Defeo Do (Physician Owner)

NPI
1053062539
Provider Name
OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
Entity Type
Organization
Location Address
541 CEDAR HILL AVE WYCKOFF, NJ 07481
Location Phone
(551) 500-5708
Mailing Address
541 CEDAR HILL AVE STE 2 WYCKOFF, NJ 07481
Mailing Phone
(551) 815-1000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2022
Last Update Date
12-14-2022
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A primary care provider (PCP) like Osteopathic Family Medicine Of Northern Nj Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DANIEL DEFEO DO

Authorized Official Title
PHYSICIAN OWNER
Authorized Official Phone
(551) 815-1000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2259351
Facility Type
Physician Office
Certificate Effective Date
May 05, 2024
Certificate Expiration Date
May 04, 2026
Laboratory Director
DANIEL S. DEFEO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Osteopathic Family Medicine Of Northern Nj Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053062539
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010306456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 0 + 6 + 4 + 5 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1053062539 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679562318DR. STEPHEN SMILEY D.D.S.
Individual
Dentist (Endodontics)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 251-3888
1740249671 KATHLEEN M. CERKVENIK MD
Individual
Pediatrics541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 652-0300
1285693119BERGEN WEST PEDIATRIC CENTER, PA
Organization
Pediatrics541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 652-0300
1134188402DR. STUART F. SLAVIN MD
Individual
Pediatrics541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 652-0300
1760492946DR. DAVID JOSEPH GALLINA M.D.,
Individual
Specialist541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 447-0550
1750438776DR. TERESA SUYON LEE D.D.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 652-7766
1114194941GEORGE J. MARTINO, MD, PA
Organization
General Acute Care Hospital541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 447-4500
1801033501CEDAR HILL OBSTETRICS & GYNECOLOGY ASSOCIATES,PA
Organization
Specialist541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 447-6262
1699048504DAVID J. GALLINA, MD, PA
Organization
Psychiatry & Neurology (Psychiatry)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 447-0550
1083971584BERGEN SMILE CONFIDENCE,P.A.
Organization
Dentist541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 444-2383
1639433410ALLERGY AND ASTHMA COMPREHENSIVE CARE
Organization
Allergy & Immunology541 CEDAR HILL AVE SUITE 8
WYCKOFF, NJ 07481
(201) 652-6211
1720048077DR. ALEXANDER MAROTTA M.D.
Individual
Specialist541 CEDAR HILL AVE SUITE 8
WYCKOFF, NJ 07481
(201) 652-6211
1174681993DR. RONALD F SAGLIMBENE DMD
Individual
Dentist (Oral and Maxillofacial Pathology)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 493-9866
1912931544 LEKHRAJ K LALA M.D.
Individual
Internal Medicine (Cardiovascular Disease)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 447-4600
1699158063 FRANCISCO MARCOS
Individual
Pharmacist541 CEDAR HILL AVE SUITE M
WYCKOFF, NJ 07481
(201) 485-3094
1477501625CEDAR HILL OBSTETRICAL & GYNECOLOGICAL ASSOC PA
Organization
Obstetrics & Gynecology541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 447-6262
1851466387STEVEN HUTT, DDS, PA
Organization
Dentist (General Practice)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 444-2383
1417006149LALA LEKHRAJ
Organization
Internal Medicine (Cardiovascular Disease)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 447-4600
1417090697MR. TOM R WILLEMANN PT,OCS,MS
Individual
Specialist541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 251-2422
1427819895WYCKOFF DENTAL SPA LLC
Organization
Clinic/Center (Dental)541 CEDAR HILL AVE
WYCKOFF, NJ 07481
(201) 444-2383

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053062539, enumerated in the NPI registry as an "organization" on January 16, 2022

The provider is located at 541 Cedar Hill Ave Wyckoff, Nj 07481 and the phone number is (551) 500-5708

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 31D2259351 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 16, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.