Organization Active NPI

MD Healthcare Services-NJ, LLC

  • Nursing Care Agency
  • Fort Lee, NJ
National Provider Identifier
1538549753
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HP0189300 Issued in NJ
Legal business name
MD HEALTHCARE SERVICES-NJ, LLC
Practice address
1625 Lemoine Ave
Fort Lee, NJ 07024-5651
Phone
(201) 944-6220
Fax
(201) 944-6227
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Olga Golfinopoulos
Title
Ceo
Phone
(201) 944-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X HP0189300 NJ Primary

Addresses

Primary practice location

1625 Lemoine Ave
Fort Lee, NJ 07024-5651

Mailing address

1625 Lemoine Ave
Fort Lee, NJ 07024-5651
Phone (201) 944-6220

Other identifiers 1

IdentifierTypeStateIssuer
0440621MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1625 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 944-6220

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1538549753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245651",
            "telephone_number": "201-944-6220",
            "fax_number": "201-944-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245651",
            "telephone_number": "201-944-6220",
            "fax_number": "201-944-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE SERVICES-NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "GOLFINOPOULOS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-944-6220"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NJ",
            "license": "HP0189300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440621",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.