Medicrest, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDICREST, LLC

Practice address

4508 Smith Ave Apt 5
North Bergen, NJ 07047-2752

Phone

(551) 293-8843

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Natalia Bortell, NP

Title

General Manager

Phone

(551) 293-8843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1245068972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 SMITH AVE APT 5",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472752",
            "telephone_number": "551-293-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 SMITH AVE APT 5",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472752",
            "telephone_number": "551-293-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICREST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "BORTELL",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "551-293-8843",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliana C Matienzo
• Ariana Matos, MSW
• Emily Max, DO
• Ronald Eric McIntyre, D.O.
• Kristin McKeever, PA
• Krutagni Adwait Mehta
• Ruchi S Mehta
• Giovanna Mele, MD
• Mafdy Ezzat Gerges Melek
• Luz de Maria Melendez

• Health Service Clinic/Center in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.