Mylaurel Medical Group NJ, PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MYLAUREL MEDICAL GROUP NJ, PC

Practice address

400 Morris Ave Ste 224
Denville, NJ 07834-1362

Phone

(973) 363-4555

NPI assigned

Sep 14, 2020

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Baldridge

Title

Credentialing

Phone

(702) 417-6255

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Craxton, MD

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1063941433
  NPD (past)
• Whitney Gibbs, FNP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1659810315
  NPD (past)
• Maha Salama, MD

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1841653243
  NPD (past)
• Megan Sue Soliman, MD

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1891146569
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1942815295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MORRIS AVE STE 224",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341362",
            "telephone_number": "973-363-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLAUREL MEDICAL GROUP NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BALDRIDGE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "702-417-6255"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mskcc Physicians @ St Clare's Hospital
• Meghana Reddy Muddam, M.D.
• Alan S Mufson, MD
• Vishnu Mulavini
• Mohammed Ebrahim Musa
• Manasa Sindhura Nagineni, M.D.
• Kelly Najjar, NBC-HWC
• Nancy a Spinelli DO PA
• Salvatore Napoli, DDS, MD
• Sri Harsha Narayana

• General Practice Physician in Denville, NJ
• Providers in Denville, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.