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

Irvington Family Medicine

Organization Family Medicine Physician · NPI 1720303621

Irvington Family Medicine is a Family Medicine Physician in Irvington, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010

Practice location Address checks out

852 18th Ave
Irvington, NJ 07111-2756
Phone: (973) 373-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MA04275 (NJ)

Record details

NPI number1720303621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melloney Jackson — Partner · (973) 373-3000
NPI enumeratedApril 2, 2010
Last updated in NPPESApril 2, 2010
Mailing address12 Krotik Pl, Irvington, NJ 07111-1708

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