Organization Active NPI

MMJZ Services, Inc.

  • Clinical Social Worker
  • Melville, NY
National Provider Identifier
1407217763
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R029359 Issued in NY
Legal business name
MMJZ SERVICES, INC.
Practice address
3 Northcote Dr
Melville, NY 11747-3912
Phone
(631) 643-6205
NPI assigned
Mar 15, 2016
Last updated
Apr 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Authorized official

Name
Mark Zimmerman
Title
President
Phone
(631) 643-6205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R029359 NY Primary

Addresses

Primary practice location

3 Northcote Dr
Melville, NY 11747-3912

Mailing address

3 Northcote Dr
Melville, NY 11747-3912
Phone (631) 643-6205

National Provider Directory

National Provider Directory

Locations

54 Sunnyside Blvd
Plainview, NY 11803
Phone (516) 506-7776

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775952000000",
    "number": "1407217763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NORTHCOTE DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473912",
            "telephone_number": "631-643-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NORTHCOTE DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473912",
            "telephone_number": "631-643-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMJZ SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-643-6205"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.