Mario Jr Millan, HEALTH ADULT DAYCARE

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

114 Washington Avenue
Belleville, NJ 07109

Phone

(973) 429-0525

Fax

(973) 751-7704

NPI assigned

Aug 14, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shrewsbury Health Adult Daycare

  • Adult Day Care Clinic/Center
  • Belleville, NJ
  • NPI 1275017816
  NPD (past) Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1851871370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON AVENUE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-336-4968",
            "fax_number": "973-751-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WASHINGTON AVENUE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "07109",
            "telephone_number": "973-429-0525",
            "fax_number": "973-751-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "MARIO",
        "middle_name": "JR",
        "credential": "HEALTH ADULT DAYCARE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "831417720",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilibet M Mesa Dorta, DMD
• Michael & Lori Ippolito
• Michael M. Brand, M.D.,P.a.
• Midpoint Drugs, LLC
• Maro Mikhaeil
• Ivan Miller, MD
• Michael Joseph Miller, MD
• Mindful Emotions LLC
• Joon H Minn, M.D.
• Ivana Mitic

• Adult Day Care Clinic/Center in Belleville, NJ
• Providers in Belleville, 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 Nov 15, 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.