Active NPI
Ophelia Macbain
- Laboratory Management Specialist/Technologist
- Englewood, NJ
National Provider Identifier
1306060819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- Practice address
- 40 Engle St
Englewood, NJ 07631-2905 - Phone
- (201) 569-1332
- Fax
- (201) 567-5955
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | Primary |
Addresses
Primary practice location
40 Engle St
Englewood, NJ 07631-2905
Mailing address
40 Engle St
Englewood, NJ 07631-2905
Phone (201) 569-1332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4622201 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306060819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312905",
"telephone_number": "201-569-1332",
"fax_number": "201-567-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ENGLE ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312905",
"telephone_number": "201-569-1332",
"fax_number": "201-567-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACBAIN",
"first_name": "OPHELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4622201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.