Metro Health & Wellness Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

METRO HEALTH & WELLNESS CENTER PC

Practice address

2755 Kennedy Blvd
Jersey City, NJ 07306-5507

Phone

(646) 477-5862

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suraj Devesar

Title

Ceo

Phone

(646) 477-5862

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1447923370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065507",
            "telephone_number": "646-477-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO HEALTH & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "DEVESAR",
        "authorized_official_first_name": "SURAJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-477-5862"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnimel Lusterio Merene-Bianco, D.M.D.
• Jillian Mergruen, RD, CDN
• Carmela A Merino, MSW
• Fnu Mertyl Tina David
• Ana M Meseguer, LCSW
• Metro Medical Services
• Metro Medical Services, LLC
• Metropolitan Family Health Network, Inc
• Metropolitan Family Health Network, Inc.
• Nataly Metry

• Internal Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.