Medallion Services Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MEDALLION SERVICES INC

Practice address

212 2ND St
105
Lakewood, NJ 08701-3424

Phone

(732) 961-2020

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Michael Lutz

Title

President

Phone

(732) 961-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1093113664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 2ND ST",
            "address_2": "105",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013424",
            "telephone_number": "732-961-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 2ND ST",
            "address_2": "105",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013424",
            "telephone_number": "732-961-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-961-2020"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Maria McMonigle, FNP-BC
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• Medallion Services LLC
• Medassist NJ
• Medassist NJ II
• Medassist USA LLC
• Andrea Medeiros, MSW, LCSW, LCADC

• Developmentally Disabled Services Day Training Agency in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.