NPIMap

Organization Active NPI

MMM Health Services

  • Clinic/Center
  • Cliffside Park, NJ
National Provider Identifier
1447748181
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MMM HEALTH SERVICES
Practice address
596 Anderson Ave Ste 305
Cliffside Park, NJ 07010-1888
Phone
(201) 945-2905
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Svetlana Maryash
Title
Manager
Phone
(201) 945-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

596 Anderson Ave Ste 305
Cliffside Park, NJ 07010-1888

Mailing address

596 Anderson Ave Ste 305
Cliffside Park, NJ 07010-1888
Phone (201) 945-2905

Other names 1

  • MMM Health Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306000971 NJ Part B Supplier - Clinic/Group Practice 4880115856 Receives reassigned benefits from 1 practitioner
Practice locations: Cliffside Park, NJ

National Provider Directory

National Provider Directory
Tax ID family
MMM Health Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1447748181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE STE 305",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101888",
            "telephone_number": "201-945-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 ANDERSON AVE STE 305",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101888",
            "telephone_number": "201-945-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMM HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MARYASH",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-945-2905"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMM Health Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MMM Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.