My NJ Medicine Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MY NJ MEDICINE CORP

Practice address

76 Prospect St
Newark, NJ 07105-1881

Phone

(973) 344-1313

Fax

(973) 900-8809

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Samaniego, MD

Title

Owner

Phone

(973) 344-1313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1306318241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PROSPECT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051881",
            "telephone_number": "973-344-1313",
            "fax_number": "973-900-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PROSPECT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051881",
            "telephone_number": "973-344-1313",
            "fax_number": "973-900-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NJ MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-344-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P5595606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Mustillo, M.D.
• Mutual Home Care LLC
• Sonia Mvuemba
• MW Eyewear LLC
• Linda Mwamuka, M.D
• Mycardiovascular Clinic LLC
• Brenda J Myers, LPN
• Dynasia Tamika Myles
• Colleen Marian Myrie, LSW
• N S Operations LLC

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.