Mid Bergen Regional Health Commission

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MID BERGEN REGIONAL HEALTH COMMISSION

Practice address

930 River Rd
New Milford, NJ 07646-3043

Phone

(201) 599-6290

Fax

(201) 262-7783

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Sam Yanovich

Title

Health Officer Director

Phone

(201) 599-6290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1801091475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463043",
            "telephone_number": "201-599-6290",
            "fax_number": "201-262-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 RIVER RD",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076463043",
            "telephone_number": "201-599-6290",
            "fax_number": "201-262-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID BERGEN REGIONAL HEALTH COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "YANOVICH",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "HEALTH OFFICER DIRECTOR",
        "authorized_official_telephone_number": "201-599-6290"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merin T Mathew
• Diane B Matlick, PT
• Carol Maye, APN-C
• Medex Anesthesia
• Alexis Jordan Michel, LPC
• Barbara Millo
• Mindspa Therapeutic Wellness Center
• Lawrence Todd Mintz, D.C.
• Michael J Mraz, MPT
• Kelsey Maureen Musselman Burgess, RD

• Public Health or Welfare Agency in New Milford, NJ
• Providers in New Milford, NJ by specialty
• Public Health or Welfare Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.