Metamorphosis Medical Spa

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

METAMORPHOSIS MEDICAL SPA

Practice address

2024 Macopin Rd Ste E
West Milford, NJ 07480-1900

Phone

(973) 545-4055

Fax

(973) 506-6728

NPI assigned

Nov 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Paul Babitz, APN, DC

Title

President

Phone

(973) 506-4055

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1679239560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074800820",
            "telephone_number": "973-506-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 MACOPIN RD STE E",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801900",
            "telephone_number": "973-545-4055",
            "fax_number": "973-506-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS MEDICAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "BABITZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-506-4055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Marra, MA,LPC
• Mia Maslanek, OTR/L
• Sue P Maurer, ATC
• Memorable Moments
• Mohan A Mensah, DPM
• Charlee Miller, LSW
• Mira Vie at West Milford Opco LLC (Mira Vie at West Milford)
• Susan Moran
• Terence E Moran, DPT
• Sofia Maria Morton

• Family Nurse Practitioner in West Milford, NJ
• Providers in West Milford, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.