Mi Casa Es Su Casa II

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

NJ09001 Issued in NJ

Legal business name

MI CASA ES SU CASA II

Practice address

30 S Maple Ave
Ridgewood, NJ 07450-4508

Phone

(201) 652-8434

Fax

(201) 652-0194

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Gines, MD

Title

Owner/Ceo

Phone

(201) 652-8434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1225228299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BUCHANAN PL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932915",
            "telephone_number": "201-652-8434",
            "fax_number": "201-652-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S MAPLE AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504508",
            "telephone_number": "201-652-8434",
            "fax_number": "201-652-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI CASA ES SU CASA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "GINES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "201-652-8434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "NJ09001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody S. Behnam, MD, PC
• Tamar D Mermelstein, PA-C
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• Paula Metzger, LCSW
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• Michael J Sternschein MD,PA
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• Therese M Mierswa, LSW
• Page Miliotis
• Arielle Miller

• Adult Day Care Clinic/Center in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.