MJM Surgical

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MJM SURGICAL

Practice address

1608 Lemoine Ave Ste 101
Fort Lee, NJ 07024-5636

Phone

(201) 585-9921

NPI assigned

Jun 5, 2018

Organization subpart

No

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

Authorized official

Name

Joseph Iraci, MD

Title

Medical Director

Phone

(201) 585-9921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1265924245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LEMOINE AVE STE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245636",
            "telephone_number": "201-585-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJM SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "IRACI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-585-9921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Michaud, D.D.S.
• Jenna Millar
• Miller Dental Arts., P.a.
• Paul Miller, D.D.S.
• Soonji Min
• Robin Moloney
• Robert Michael Monahan, D.C.
• Ellen Monane, MA, CCC-SLP
• Melissa Monteiro
• Sangrok Moon, D.C., L.AC.

• Surgery Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.