MC Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07840600 Issued in NJ

Legal business name

MC MEDICAL GROUP LLC

Practice address

1425 Pompton Ave
Ste 1-1
Cedar Grove, NJ 07009-1043

Phone

(973) 785-8686

Fax

(973) 785-8680

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

James Peter Morgan, M.D.

Title

Ceo

Phone

(973) 785-8686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1174984967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE",
            "address_2": "STE 1-1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-785-8686",
            "fax_number": "973-785-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 POMPTON AVE",
            "address_2": "STE 1-1",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091043",
            "telephone_number": "973-785-8686",
            "fax_number": "973-785-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-785-8686",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07840600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryll Masip
• Kirby Masip
• Frances Massenzio, RN
• Cristina Andrea Mathew, M.S.N
• Neema A Mbonela
• Lori Gaines McCullom, OTR
• Kelly Ann McGovern, PT, DPT
• Robert A McKenna, DMD
• Sonya McKinney
• Robert McMahon

• Internal Medicine Physician in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Internal Medicine Physician in New Jersey

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

Verify at the official NPI Registry.