Organization Active NPI

NJ MMJ LLC

  • Anesthesiology Physician
  • Marlton, NJ
National Provider Identifier
1245999564
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NJ MMJ LLC
Practice address
751 Route 73 N Ste 10
Marlton, NJ 08053-3456
Phone
(973) 453-2053
Fax
(973) 528-8084
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Dr. Milind Patel, MD
Title
President
Phone
(201) 952-0159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

751 Route 73 N Ste 10
Marlton, NJ 08053-3456

Mailing address

751 Route 73 N Ste 10
Marlton, NJ 08053-3456
Phone (973) 453-2053

National Provider Directory

National Provider Directory

Locations

751 Route 73 N
Ste 201
Marlton, NJ 08053
Phone (973) 453-2053

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1245999564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ROUTE 73 N STE 10",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533456",
            "telephone_number": "973-453-2053",
            "fax_number": "973-528-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROUTE 73 N STE 10",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533456",
            "telephone_number": "973-453-2053",
            "fax_number": "973-528-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ MMJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MILIND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-952-0159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.