Family Legacy Medical Care, PA
NPI 1043704810 · Family Medicine Physician · Elizabeth, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Legacy Medical Care, PA is a Family Medicine Physician organization in Elizabeth, NJ (NPI 1043704810).
Provider details
- NPI number
- 1043704810
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pascale Ferdinand, Physician(908) 351-6663
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 60 Evergreen PlEast Orange, NJ 07018-2106Phone: (973) 675-0097
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2019-01-19
Frequently asked questions
- What is Family Legacy Medical Care, PA's NPI number?
- Family Legacy Medical Care, PA's National Provider Identifier (NPI) is 1043704810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Legacy Medical Care, PA?
- Family Legacy Medical Care, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Legacy Medical Care, PA located?
- Family Legacy Medical Care, PA's practice location on file with NPPES is 115 Jefferson Ave, Elizabeth, NJ 07201-2417.
- What is Family Legacy Medical Care, PA's phone number?
- The practice phone number listed in the NPPES registry for Family Legacy Medical Care, PA is (908) 351-6663.
- Does Family Legacy Medical Care, PA accept Medicare?
- Family Legacy Medical Care, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Family Legacy Medical Care, PA?
- The authorized official listed on Family Legacy Medical Care, PA's NPPES record is Pascale Ferdinand, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Legacy Medical Care, PA's NPI active?
- Yes — Family Legacy Medical Care, PA's NPI (1043704810) is active in the NPPES registry as of the last update on 2019-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.