Med at Home LLC
Organization Active NPI Gerontology Nurse Practitioner · Allenhurst, NJ
NPI 1023946019 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1023946019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- Legal business name
- MED AT HOME LLC
- Practice address
- 613 Myrtle Ave
Allenhurst, NJ 07711-1360 - Phone
- (718) 208-6747
- NPI assigned
- May 11, 2026
- Organization subpart
- No
Authorized official
- Name
- Shirley Mamiye, NP
- Title
- NP
- Phone
- (718) 208-6747
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner |
363LG0600X | Yes |
Addresses
Primary practice location
613 Myrtle Ave
Allenhurst, NJ 07711-1360
Mailing address
613 Myrtle Ave
Allenhurst, NJ 07711-1360
Phone (718) 208-6747
Other providers in Allenhurst, NJ
- American Family Tinnitus Center LLC
- Elaine Cannizzaro
- Robert Steven Dengrove
- Shelley Secoolish Hamilton
- Shirley Rachel Mamiye
- David Moss
- Vanessa Moss
- Nancie Vaccaro Senet
- Gary Eugene Siciliano
- Brittany J Tarantino
All providers in Allenhurst, NJ · Gerontology Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.