M & R Mikel LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

M & R MIKEL LLC

Practice address

553 Howard Dr
Lakewood, NJ 08701-5126

Phone

(845) 538-6674

NPI assigned

Oct 25, 2015

Organization subpart

No

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

Authorized official

Name

Rochel Mikel

Title

Owner

Phone

(845) 538-6674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445731200000",
    "number": "1154793578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 HOWARD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 HOWARD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015126",
            "telephone_number": "845-538-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & R MIKEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A",
        "authorized_official_last_name": "MIKEL",
        "authorized_official_first_name": "ROCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-538-6674"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; 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.