MRJ Medical Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

020462300 Issued in FL

Legal business name

MRJ MEDICAL INC

Doing business as

MRJ Services Inc

Practice address

130 S University Dr Ste F
Plantation, FL 33324-3347

Phone

(954) 990-4476

Fax

(954) 206-4452

NPI assigned

Oct 2, 2017

Last updated

Feb 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ramona Perez KorbaNPI 1275061780

Title

Administrator

Phone

(954) 383-2775

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MRJ Services Inc Doing business as

Electronic endpoints 1

Tax ID family

MRJ Medical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• MRJ Medical Inc

  dba MRJ Services Inc

  • Developmentally Disabled Services Day Training Agency
  • Plantation, FL
  • NPI 1649034661
  NPD tax ID
• MRJ Medical Inc

  dba MRJ Services Inc

  • In Home Supportive Care Agency
  • Plantation, FL
  • NPI 1992213540
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramona Perez Korba, RN

  • Case Management Registered Nurse
  • Plantation, FL
  • NPI 1275061780
  Authorized official Same address or phone

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1245740521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S UNIVERSITY DR STE F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243347",
            "telephone_number": "954-990-4476",
            "fax_number": "954-206-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S UNIVERSITY DR STE F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243347",
            "telephone_number": "954-990-4476",
            "fax_number": "954-206-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRJ MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ KORBA",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-383-2775",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "020462300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020462300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Services@mrjmedical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 S University Dr Ste F",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333243347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MRJ Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moterum Health Services Management LLC
• Elizabeth Fifer Motisi, M.ED., CCC-SLP
• Thiago Assis Moulin, MD
• Fernando Antonio Moya-Huff, M.D.
• Lina Maria Moyano, ED.D., L.C.S.W.
• MRJ Medical Inc (MRJ Services Inc)
• MRJ Medical Inc (MRJ Services Inc)
• Mrs Health, Inc.
• Mua Group of Florida, Inc.
• Mudit Jain MD PA

• Developmental Disabilities Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.