Medallion Care Trenton

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MEDALLION CARE TRENTON

Practice address

1 Electronics Dr
Hamilton, NJ 08619-2054

Phone

(609) 586-0700

Fax

(609) 586-0766

NPI assigned

Sep 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. William Deutsch

Title

Executive Director

Phone

(609) 686-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1235564360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELECTRONICS DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELECTRONICS DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192054",
            "telephone_number": "609-586-0700",
            "fax_number": "609-586-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION CARE TRENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-686-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0364223",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine McMillian
• Celeste McNamara, R.PH.
• Patrika McQueen
• Meadow Health LLC
• William S Mechanic, MD
• Medallion Theraputics, LLC
• Medexpress Urgent Care - New Jersey, Inc.
• Medical Associates at Hamilton, P.C
• Medical Diagnostic Laboratories,LLC
• Medical House Calls of NJ, LLC

• Adult Mental Health Clinic/Center in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.