Active NPI
Metropolitan Community Medical Care LLC
- Primary Care Clinic/Center
- Elizabeth, NJ
National Provider Identifier
1164615126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 25MA07280100
- Legal business name
- METROPOLITAN COMMUNITY MEDICAL CARE LLC
- Practice address
- 500 Westfield Ave
Elizabeth, NJ 07208-1642 - Phone
- (908) 994-1500
- Fax
- (908) 994-0035
- NPI assigned
- Aug 23, 2007
- 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
- Mr. Edward Rakler, PA-C
- Title
- Physician Assistant
- Phone
- (908) 994-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 25MA07280100 | NJ | Primary |
Addresses
Primary practice location
500 Westfield Ave
Elizabeth, NJ 07208-1642
Mailing address
500 Westfield Ave
Elizabeth, NJ 07208-1642
Phone (908) 994-1500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Jericho, NY
- NPI 1508866542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1164615126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WESTFIELD AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081642",
"telephone_number": "908-994-1500",
"fax_number": "908-994-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WESTFIELD AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072081642",
"telephone_number": "908-994-1500",
"fax_number": "908-994-0035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITAN COMMUNITY MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "RAKLER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "908-994-1500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": "25MA07280100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
- Mercy Medical Response (Ever Ready Medical Response)
- Mercy Recovery Center,LLC
- Josuee Anne Mertyl, PHARM-D
- Kayleen Lianne Mesa, FNP
- Shirley Messina, NP
- Mhgenterprisesinc (elizabeth hearing aid center)
- Michael J. Bercik, M.D.,P.a.
- Guilaine Michaud-Mesidor
- Midas Touch Care Services LLC
- Rafael Mikhailov, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.