Individual provider Active NPI

Mynor Neftaly Alvarez I, SR

  • In Home Supportive Care Agency
  • Jersey City, NJ
National Provider Identifier
1023886520
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HP0363000 Issued in NJ
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

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
HP0363000NJMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
M&C Home Health Care LLC. CurrentSince Jun 1, 2024 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.

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.

Verify at the official NPI Registry.