Organization Active NPI

MLS Medical Group, LLC

  • Clinic/Center
  • Passaic, NJ
National Provider Identifier
1336386754
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Dr. Mark Schwartz, D.O.NPI 1164436325
Title
Owner
Phone
(201) 819-8049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

293 Passaic St
Passaic, NJ 07055-5803

Mailing address

293 Passaic St
Passaic, NJ 07055-5803
Phone (201) 783-0780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Passaic, NJ

Sources for this page

  • 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.