Organization Active NPI

MJR, LLC

  • Clinic/Center
  • Hanover, MA
National Provider Identifier
1831225697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2353 Issued in MA
Legal business name
MJR, LLC
Practice address
208 Broadway
Hanover, MA 02339-2382
Phone
(781) 829-6780
Fax
(781) 829-6781
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael John Recupero, D.C.NPI 1356477103
Title
Owner
Phone
(781) 829-6780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2353 MA Primary

Addresses

Primary practice location

208 Broadway
Hanover, MA 02339-2382

Mailing address

PO Box 192
Hanover, MA 02339-0192
Phone (781) 829-6780

Other identifiers 1

IdentifierTypeStateIssuer
Y39928OtherMABCBS ID

Other names 1

  • Dr. Michael J Recupero Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831225697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023390192",
            "telephone_number": "781-829-6780",
            "fax_number": "781-829-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BROADWAY",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392382",
            "telephone_number": "781-829-6780",
            "fax_number": "781-829-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RECUPERO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-829-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "Y39928",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Michael J Recupero",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.