Organization Active NPI

MCMJ Healthcare Agency, LLC

  • Home Health Agency
  • Midland Park, NJ
National Provider Identifier
1033570858
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0200800 Issued in NJ
Legal business name
MCMJ HEALTHCARE AGENCY, LLC
Practice address
10 Millington Dr
Midland Park, NJ 07432-1112
Phone
(201) 857-4190
Fax
(201) 857-4191
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Marthe CherubinNPI 1902792674
Title
Business Manager
Phone
(862) 452-0130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0200800 NJ Primary

Addresses

Primary practice location

10 Millington Dr
Midland Park, NJ 07432-1112

Mailing address

637 Wyckoff Ave
Suite 278
Wyckoff, NJ 07481-1438
Phone (201) 857-4190

National Provider Directory

National Provider Directory

Locations

637 Wyckoff Ave
Ste 278
Wyckoff, NJ 07481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1033570858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WYCKOFF AVE",
            "address_2": "SUITE 278",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811438",
            "telephone_number": "201-857-4190",
            "fax_number": "201-857-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MILLINGTON DR",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321112",
            "telephone_number": "201-857-4190",
            "fax_number": "201-857-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMJ HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "CHERUBIN",
        "authorized_official_first_name": "MARTHE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "862-452-0130"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0200800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.