Mideo Health of New Jersey LLC

Key facts

NPI

1407686272

Entity type

Organization (NPI type 2)

Primary specialty

Emergency Medicine Physician 207P00000X

Legal business name

MIDEO HEALTH OF NEW JERSEY LLC

Practice address

130 Salvatore Dr
Mullica Hill, NJ 08062-2868

Phone

(844) 643-3648

Fax

(330) 451-4172

NPI assigned

Aug 6, 2024

Organization subpart

No

Authorized official

Name

Dr. Ferdinando L Mirarchi, DO

Title

Ceo

Phone

(844) 643-3648

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 16, 2026.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1407686272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031856",
            "telephone_number": "844-643-3648",
            "fax_number": "330-451-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SALVATORE DR",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622868",
            "telephone_number": "844-643-3648",
            "fax_number": "330-451-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165031856",
            "country_code": "US",
            "telephone_number": "844-643-3648",
            "fax_number": "330-451-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDEO HEALTH OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "MIRARCHI",
        "authorized_official_first_name": "FERDINANDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-643-3648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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