MBS Trinity Health, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB09310600 Issued in NJ

Legal business name

MBS TRINITY HEALTH, LLC

Practice address

2 Hospital PLZ
Suite 470
Old Bridge, NJ 08857-3012

Phone

(732) 638-4688

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Hawwa S. Frazier, DONPI 1881889277

Title

Owner/Ceo

Phone

(732) 638-4688

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19348/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Hawwa Sharif Frazier, DO

  • Family Medicine Physician
  • Bethlehem, GA
  • NPI 1881889277

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1891133617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WHITEHEAD AVE",
            "city": "SAYREVILLE",
            "state": "NJ",
            "postal_code": "088721187",
            "telephone_number": "732-638-4688",
            "fax_number": "732-360-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL PLZ",
            "address_2": "SUITE 470",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573012",
            "telephone_number": "732-638-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS TRINITY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "HAWWA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "732-638-4688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09310600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "316822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kris Mathis
• Teresa Lynn Mathis, LCSW
• Max Health Therapies
• Max Health Therapies, PC
• Maxhealth, LLC (MaxHealth)
• Annmarie McDade, MS, RDN, CDE
• Michael Gerard McIntyre, FNP
• Raymond McKenna Jr.
• Medical Associates for Central New Jersey P .a.
• Meaghan M Mehmedagic, BCBA

• Family Medicine Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.