Msak Ventures LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MSAK VENTURES LLC

Practice address

445 Brick Blvd Ste 203
Brick, NJ 08723-6079

Phone

(732) 551-3880

NPI assigned

Mar 23, 2020

Organization subpart

No

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

Authorized official

Name

Susan Petzold

Title

President

Phone

(732) 551-3880

Specialties & licenses 1

Addresses

Other names 1

• Brightstar Care of Northern Ocean County Doing business as

Locations

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1184250078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 203",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236079",
            "telephone_number": "732-551-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BRICK BLVD STE 203",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236079",
            "telephone_number": "732-551-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSAK VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "PETZOLD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-551-3880"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar Care of Northern Ocean County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Mosmen, DMD,MS
• John Mostafa, D.P.M
• Kostandina Mouritzen, M.S., CCC-SLP
• Tuka Mousa, MD
• Oumou Mowla, RPH
• Abigail Mullen, MD
• Tatiana Pamponet Mullin
• Robert Francis Mulry, NP
• Stephanie V. Munn, PA-C
• Soundari Muralidharan, MD

• Home Health Agency in Brick, NJ
• Providers in Brick, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.