Organization Active NPI

Mobile Medical Services of New Jersey

  • Case Management Agency
  • Mahwah, NJ
National Provider Identifier
1760989669
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MOBILE MEDICAL SERVICES OF NEW JERSEY
Practice address
1807 Faulkner CT
Mahwah, NJ 07430-3491
Phone
(201) 889-4395
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Donna McMackin
Title
Vice President
Phone
(201) 889-4395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1807 Faulkner CT
Mahwah, NJ 07430-3491

Mailing address

1807 Faulkner Court
Mahwah, NJ 07430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1760989669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 FAULKNER COURT",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "07430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 FAULKNER CT",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303491",
            "telephone_number": "201-889-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL SERVICES OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "MCMACKIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-889-4395"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.