MLS Medical Group, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MLS MEDICAL GROUP, LLC

Practice address

293 Passaic St
Passaic, NJ 07055-5803

Phone

(201) 783-0780

Fax

(201) 664-0853

NPI assigned

Jan 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark Schwartz, D.O.

Title

Owner

Phone

(201) 819-8049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1336386754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "201-783-0780",
            "fax_number": "201-664-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "201-783-0780",
            "fax_number": "201-664-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-819-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.