Metamorphosis Transitional Living

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

METAMORPHOSIS TRANSITIONAL LIVING

Practice address

241 Hudson St Ste 133
Hackensack, NJ 07601-6708

Phone

(201) 255-7348

Fax

(201) 255-7352

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Prof. Maretta Lajaune Hodges, ED.M., MSW

Title

Executive Director

Phone

(201) 255-7348

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1871254409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SELVAGE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664819",
            "telephone_number": "201-255-7348",
            "fax_number": "201-255-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 HUDSON ST STE 133",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016708",
            "telephone_number": "201-255-7348",
            "fax_number": "201-255-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS TRANSITIONAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARETTA",
        "authorized_official_middle_name": "LAJAUNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-255-7348",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "ED.M., MSW"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DRIVERS LICENSE",
            "identifier": "H60825187351722",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Humberto Angel Merzeau, D.D.S., F.A.G.D.,P.A
• Yeabsira Mesfin, MD
• Alan Meskin
• Ruth Streeter Mesnard, PSY.D.
• Haidy Samir Messih, D.D.S
• Ianina Metcalf, APN
• Metroplus Transportation
• Metropolitan Anesthesiology Associates, LLC
• Metropolitan Cardiovascular Consultants,LLC
• Metropolitan New Jersey, LLC

• Community/Behavioral Health Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.