Medallion Theraputics, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MEDALLION THERAPUTICS, LLC

Practice address

1 Electronics Dr Ste 105
Hamilton, NJ 08619-2086

Phone

(609) 586-0700

NPI assigned

May 9, 2024

Last updated

May 9, 2024By 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

Mr. Michael LutzNPI 1659776979

Title

President

Phone

(908) 400-6643

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Lutz

  • Developmentally Disabled Services Day Training Agency
  • Lakewood, NJ
  • NPI 1659776979
  NPD Authorized official

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1629826110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELECTRONICS DR STE 105",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192086",
            "telephone_number": "609-586-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELECTRONICS DR STE 105",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192086",
            "telephone_number": "609-586-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION THERAPUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-400-6643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste McNamara, R.PH.
• Patrika McQueen
• Meadow Health LLC
• William S Mechanic, MD
• Medallion Care Trenton
• Medexpress Urgent Care - New Jersey, Inc. (MedExpress Urgent Care - Hamilton Square)
• Medical Associates at Hamilton, P.C
• Medical Diagnostic Laboratories,LLC
• Medical House Calls of NJ, LLC
• Medical Monitoring

• Mental Health Counselor in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.