Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Legacy Medical Care, PA

Organization Family Medicine Physician · NPI 1043704810

Family Legacy Medical Care, PA is a Family Medicine Physician in Elizabeth, New Jersey. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Jefferson Ave
Elizabeth, NJ 07201-2417
Phone: (908) 351-6663
Fax: (908) 351-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 60 Evergreen Pl, East Orange, NJ 07018-2106 — (973) 675-0097

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043704810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pascale Ferdinand — Physician · (908) 351-6663
NPI enumeratedJune 15, 2018
Last updated in NPPESJanuary 19, 2019
Mailing address115 Jefferson Ave, Elizabeth, NJ 07201-2417

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