MJS Med LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MJS MED LLC

Practice address

1243 S Broad St
Wallingford, CT 06492-1737

Phone

(203) 446-4555

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Mike Krasser

Title

Owner

Phone

(203) 446-4555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anita Tu Tran, PA-C

  • Physician Assistant
  • West Hartford, CT
  • NPI 1629378443
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790214518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-446-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-446-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJS MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRASSER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-446-4555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Mintich, LO
• Mark Mirabella Jr., LMT
• Sharon Patricia Misasi, PHD
• Anne Mitchell, N.D.
• Avijit Mitra, MD
• Molecular Diagnostic Laboratory LLC
• Graziella Molluzzo-Loesche, LCSW
• Molly Whitehouse LCSW LLC
• Monarch Therapeutic Services LLC
• Marjorie Moniello, RN

• Family Medicine Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.