Organization Active NPI

MD1, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fairfield, NJ
National Provider Identifier
1538768239
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
MD1, INC
Practice address
55 Lane Rd Ste 300
Fairfield, NJ 07004-1015
Phone
(844) 631-3627
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Mark A Merlin, D.O.
Title
Ceo
Phone
(844) 631-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

55 Lane Rd Ste 300
Fairfield, NJ 07004-1015

Mailing address

55 Lane Rd Ste 300
Fairfield, NJ 07004-1015
Phone (844) 631-3627

Other practice location 1

35 W 35th St Fl 6
New York, NY 10001-2205
Phone (844) 631-3627

National Provider Directory

National Provider Directory

Locations

55 Lane Rd
Ste 300
Fairfield, NJ 07004
Phone (844) 631-3627

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1538768239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LANE RD STE 300",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041015",
            "telephone_number": "844-631-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LANE RD STE 300",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041015",
            "telephone_number": "844-631-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 W 35th St Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100012205",
            "country_code": "US",
            "telephone_number": "844-631-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MD1, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "MERLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-631-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.