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

Village Medical at Home of New Jersey, PC

Organization Family Medicine Physician · NPI 1649986977

Village Medical at Home of New Jersey, PC is a Family Medicine Physician in Houston, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4650 Westway Park Blvd Ste 206
Houston, TX 77041-2006
Phone: (713) 461-2915
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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
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1649986977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fonda Shanks — Director Revenue Cycle · (844) 969-0686
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address4650 Westway Park Blvd Ste 206, Houston, TX 77041-2006

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