NPIMap

Organization Active NPI

MMM Health Services, Inc

  • Clinic/Center
  • Cliffside Park, NJ
National Provider Identifier
1215648779
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MMM HEALTH SERVICES, INC
Practice address
596 Anderson Ave Ste 305
Cliffside Park, NJ 07010-1888
Phone
(201) 945-2905
NPI assigned
Dec 6, 2022
Organization subpart
Yes
Parent organization
MMM HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Svetlana Maryash
Title
Manager
Phone
(201) 945-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

596 Anderson Ave Ste 305
Cliffside Park, NJ 07010-1888

Mailing address

596 Anderson Ave Ste 305
Cliffside Park, NJ 07010-1888

Other identifiers 1

IdentifierTypeStateIssuer
071796MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wellnesscenternj@gmail.com Other

National Provider Directory

National Provider Directory
Tax ID family
MMM Health Services6 organizations share this tax ID, including this one
Part of
MMM Health Services

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1215648779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE STE 305",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE STE 305",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101888",
            "telephone_number": "201-945-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMM HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MMM  HEALTH SERVICES, INC",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "MARYASH",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-945-2905"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071796",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wellnesscenternj@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "wellnesscenternj@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wellnesscenternj@gmail.com",
            "address_1": "596 Anderson Ave Ste 305",
            "city": "Cliffside Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070101888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.