Janlinn Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04910600 Issued in NJ

Legal business name

JANLINN HEALTHCARE LLC

Practice address

257 Monmouth Rd
Building B Suite 5
Oakhurst, NJ 07755-1500

Phone

(732) 695-6203

Fax

(732) 695-6204

NPI assigned

May 14, 2010

Organization subpart

No

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

Authorized official

Name

Janet L Mahan, MD

Title

President

Phone

(732) 695-6203

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1144548165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD",
            "address_2": "BUILDING B SUITE 5",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551500",
            "telephone_number": "732-695-6203",
            "fax_number": "732-695-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 MONMOUTH RD",
            "address_2": "BUILDING B SUITE 5",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551500",
            "telephone_number": "732-695-6203",
            "fax_number": "732-695-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANLINN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-695-6203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04910600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126772",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Oakhurst, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.