NPIMap

Organization Active NPI

Nema Medical Group of New Jersey

  • Adult Mental Health Clinic/Center
  • Branford, CT
National Provider Identifier
1639856008
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEMA MEDICAL GROUP OF NEW JERSEY
Practice address
34 Howard Ave
Branford, CT 06405-4953
Phone
(203) 208-8228
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Dr. Sofia Noori, MDNPI 1235662354
Title
Owner
Phone
(408) 582-3576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

34 Howard Ave
Branford, CT 06405-4953

Mailing address

34 Howard Ave
Branford, CT 06405-4953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1639856008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HOWARD AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HOWARD AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054953",
            "telephone_number": "203-208-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMA MEDICAL GROUP OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "NOORI",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-582-3576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.