Active NPI
MCMJ Healthcare Agency, LLC
- Home Health Agency
- Midland Park, NJ
National Provider Identifier
1033570858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0200800
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marthe Cherubin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Elizabeth, NJ
- NPI 1902792674
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.