Organization Active NPI

MH-NJ, Professional Services P.C.

  • Psychiatry Physician
  • Newark, NJ
National Provider Identifier
1356214472
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MH-NJ, PROFESSIONAL SERVICES P.C.
Practice address
569 Dr Martin Luther King Jr Blvd Ste 106
Newark, NJ 07102-1249
Phone
(332) 232-0200
NPI assigned
Sep 25, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Daniel Ross
Title
Secretary
Phone
(332) 232-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

569 Dr Martin Luther King Jr Blvd Ste 106
Newark, NJ 07102-1249

Mailing address

521 Broadway FL 4
New York, NY 10012-4454

National Provider Directory

National Provider Directory

Locations

569 Dr Martin Luther King Jr Blvd
Ste 106
Newark, NJ 07102
Phone (332) 232-0200

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1356214472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BROADWAY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100124454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 DR MARTIN LUTHER KING JR BLVD STE 106",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021249",
            "telephone_number": "332-232-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH-NJ, PROFESSIONAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "332-232-0200"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.