MD Healthcare Services-NJ, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0400517081 Issued in NJ

Legal business name

MD HEALTHCARE SERVICES-NJ, LLC

Practice address

1512 12TH St
Fort Lee, NJ 07024-2126

Phone

(201) 280-4640

Fax

(201) 242-5548

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Olga Golfinopoulos, CEO

Title

Ceo

Phone

20124255488

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1306263025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 12TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242126",
            "telephone_number": "201-280-4640",
            "fax_number": "201-242-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 12TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242126",
            "telephone_number": "201-280-4640",
            "fax_number": "201-242-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE SERVICES-NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "GOLFINOPOULOS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "20124255488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "0400517081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF FORMATION NUMBER",
            "identifier": "0400517081",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Joseph Matone, PH.D,DHS,LCSW
• Matthew Feller MD PA
• Joseph Eus Mauriello, D.D.S.
• Ariel Mayer, L.AC.
• Shelly Shamara McLean, APN
• MD Healthcare Services-NJ, LLC
• Anthony Medaglia
• Medical and Geratric Associate PC
• Medna Inc.
• Lorie A Meiselman, LCSW LPC

• Home Health Agency in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.