MJ Care Services LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

MJ CARE SERVICES LLC

Practice address

2 Timber Ridge Dr
Warren, NJ 07059-6742

Phone

(908) 553-8787

NPI assigned

Mar 20, 2022

Organization subpart

No

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

Authorized official

Name

Manouchka Jean, DNP, APN, CPNP

Title

Owner

Phone

(908) 553-8787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1578212452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TIMBER RIDGE DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596742",
            "telephone_number": "908-553-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TIMBER RIDGE DR",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070596742",
            "telephone_number": "908-553-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "MANOUCHKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-553-8787",
        "authorized_official_credential": "DNP, APN, CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Nurse Practitioner in Warren, NJ
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• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; 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.