Organization Active NPI

MRJ Medical Inc

  • Developmentally Disabled Services Day Training Agency
  • Plantation, FL
National Provider Identifier
1649034661
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MRJ MEDICAL INC
Practice address
130 S University Dr Ste F
Plantation, FL 33324-3347
Phone
(954) 990-4476
Fax
(954) 206-4452
NPI assigned
Feb 9, 2024
Organization subpart
Yes
Parent organization
MRJ MEDICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Ramona Perez Korba
Title
Administrator
Phone
(954) 990-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

130 S University Dr Ste F
Plantation, FL 33324-3347

Mailing address

130 S University Dr Ste F
Plantation, FL 33324-3347
Phone (954) 990-4476

Other names 1

  • MRJ SERVICES INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MRJ Medical Inc3 organizations share this tax ID, including this one
Part of
MRJ Medical Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1649034661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S UNIVERSITY DR STE F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243347",
            "telephone_number": "954-990-4476",
            "fax_number": "954-206-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S UNIVERSITY DR STE F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243347",
            "telephone_number": "954-990-4476",
            "fax_number": "954-206-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRJ MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MRJ MEDICAL INC",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ KORBA",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-990-4476"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRJ SERVICES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

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