Active NPI
Mynor Neftaly Alvarez I, SR
- In Home Supportive Care Agency
- Jersey City, NJ
National Provider Identifier
1023886520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HP0363000
- Practice address
- 629 Grove St FL 2
Jersey City, NJ 07310-1264 - Phone
- (201) 354-9435
- Fax
- (201) 354-9436
- NPI assigned
- Dec 13, 2023
- Reactivated
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HP0363000 | NJ | Primary |
Addresses
Primary practice location
629 Grove St FL 2
Jersey City, NJ 07310-1264
Mailing address
126 W 55TH St
Bayonne, NJ 07002-2225
Phone (201) 354-9435
Other names 1
- Mr. Mynor Neftaly Alvarez I
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HP0363000 | NJ | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&C Home Health Care LLC. | Current | Accepting new patients |
Locations
629 Grove St
Fl 2
Jersey City, NJ 07310
Phone (201) 354-9435
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Aide
- Bayonne, NJ
- NPI 1477396067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1023886520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 W 55TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070022225",
"telephone_number": "201-354-9435",
"fax_number": "201-354-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 GROVE ST FL 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101264",
"telephone_number": "201-354-9435",
"fax_number": "201-354-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "MYNOR",
"middle_name": "NEFTALY",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "SR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-13",
"last_updated": "2025-08-08",
"certification_date": "2023-12-13",
"deactivation_date": "2024-06-17",
"reactivation_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NJ",
"license": "HP0363000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYNOR",
"last_name": "ALVAREZ",
"middle_name": "NEFTALY",
"prefix": "MR.",
"suffix": "I",
"credential": "SR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.