Medi-Home Medical of New Jersey

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MEDI-HOME MEDICAL OF NEW JERSEY

Practice address

137 High St
Mount Holly, NJ 08060-1420

Phone

(609) 447-3442

Fax

(609) 447-3443

NPI assigned

Oct 23, 2013

Last updated

Jan 30, 2015By 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

Dr. Samuel Friedman, DO

Title

Owner

Phone

(609) 447-3442

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Thamar Adams, APN

  • Nurse Practitioner
  • Marlton, NJ
  • NPI 1619631710
  NPD (past)
• Melissa Ann May, NP

  • Gerontology Nurse Practitioner
  • Nashville, TN
  • NPI 1205535234
  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1962830257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HIGH ST",
            "address_2": "SUITE 2A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601420",
            "telephone_number": "609-447-3442",
            "fax_number": "609-447-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601420",
            "telephone_number": "609-447-3442",
            "fax_number": "609-447-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-HOME MEDICAL OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-447-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "338604",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406317",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra McElwain, CRNA
• Michael E McHale, CPED
• Sarah McIntyre, LSW
• Linda D McMahon, WHNP-BC, RNFA
• Corina Meade
• Medical Providers on the Go
• Howard Mendel, MD
• Mending Hands Surgical Assisting, LLC
• Ruth Menezes-Allman
• Rashida Mengi, MD

• Foot & Ankle Surgery Podiatrist in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.