Healthcare Provider Details

I. General information

NPI: 1831249622
Provider Name (Legal Business Name): FARMINGDALE FAMILY PRACTICE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 MAIN ST
FARMINGDALE NJ
07727-1326
US

IV. Provider business mailing address

43 MAIN ST
FARMINGDALE NJ
07727-1326
US

V. Phone/Fax

Practice location:
  • Phone: 732-938-6471
  • Fax: 732-938-3563
Mailing address:
  • Phone: 732-938-6471
  • Fax: 732-938-3563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH W SCHAUER III
Title or Position: OWNER
Credential: MD
Phone: 732-938-6471