Mad Property and Tech LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MAD PROPERTY AND TECH LLC

Doing business as

Mobile Medical Services and Technology

Practice address

219 South St Ste 105
New Providence, NJ 07974-2100

Phone

(908) 956-7565

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Madeline Deferrari

Title

Ceo

Phone

(917) 968-2170

Specialties & licenses 2

Addresses

Other names 1

• Mobile Medical Services and Technology Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1427645829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 LOWER YORK RD STE A",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189385608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SOUTH ST STE 105",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742100",
            "telephone_number": "908-956-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6464 Lower York Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189385608",
            "country_code": "US",
            "telephone_number": "917-968-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAD PROPERTY AND TECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "DEFERRARI",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-968-2170",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Medical Services and Technology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile Medical Services and Technology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Nicole Little, LSW
• Nancy E. Livingston, MSW, LCSW
• Brittany Longo
• Ithamar Lopez Ramirez
• Monica Macauley
• Jennifer Ann Maguire
• Karyn Ann Mancuso, LSW
• Manor Care of New Providence NJ LLC
• Irina Marcoff, DPT
• Michelle Marmol

• Otolaryngology Physician in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.