Phlebx Inc

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

PHLEBX INC

Practice address

20 Shadow Rd
Upper Saddle River, NJ 07458-1918

Phone

(917) 903-8131

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Yary Mordkovich

Title

Coo

Phone

(917) 903-8131

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1245008366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHADOW RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SHADOW RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581918",
            "telephone_number": "917-903-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHLEBX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "MORDKOVICH",
        "authorized_official_first_name": "YARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "917-903-8131"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Helen O'Connor, CRNA
• Nelly Jouayed Oundjian, MD
• Mary Kathleen Owens, LCSW
• Lillyanne Park, RD
• Julia Anne Pecoraro, OTR/L
• Fely Grecia Purisima
• Elizabeth Rappa, PHARMD
• Michele Rebecca Resnick, LCSW
• Ryan Ribaudo
• Yaakov Richter, LCSW

• Phlebotomy Technician in Upper Saddle River, NJ
• Providers in Upper Saddle River, NJ by specialty
• Phlebotomy Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.