Renee Malts

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

07025 Issued in NJ

Practice address

440 Washington St
Orange, NJ 07050-1932

Phone

(973) 677-2273

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heritage Partial Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, NJ
  • NPI 1346969128
  NPD Authorized official
• Heritage Adult Enrichment Center, LLC

  • Adult Day Care Clinic/Center
  • Orange, NJ
  • NPI 1710480355
  NPD

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1801397922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S PINE AVE",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WASHINGTON ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501932",
            "telephone_number": "973-677-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTS",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "07025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M and M Group, Inc.
• M. Calhoun Thomas MD
• Samantha Mackintosh, LAC
• Mahesh I. Patel, M.D., P.a.
• Komala Devi Mallampati, MD
• Karine Manasse
• Paolina Marano, LSW
• Gissell Martinez
• Tracy F Matthews, DDS
• Mavital Nutrition LLC

• Adult Day Care Clinic/Center in Orange, NJ
• Providers in Orange, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.