Mdusa

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MA65696 Issued in NJ

Legal business name

MDUSA

Practice address

244 Broad Ave
2ND Floor
Palisades Park, NJ 07650-1552

Phone

(201) 446-6701

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Brian Kim

Title

Biller

Phone

(201) 446-6701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1801224811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BROAD AVE",
            "address_2": "2ND FLOOR",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501552",
            "telephone_number": "201-446-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 BROAD AVE",
            "address_2": "2ND FLOOR",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501552",
            "telephone_number": "201-446-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDUSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "201-446-6701"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA65696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Sung Kim, O.D., Inc.
• Thyparampil M Mathew, LCSW
• Michele Marie Matos, BCBA
• Matthew Lee DDS NJ PC
• Maven Northeast Bergen, LLC
• Ashley Menchise, M.S. CCC SLP
• Metropolitan Eye Research & Surgery Institute P.a.
• Metrovision Inc
• MJ Optometry Group, PC
• Moodlab Psychotherapy

• Legal Medicine in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Legal Medicine in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.