MGM MEDICAL CENTER (NPI# 1386275352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386275352 |
| Entity Type | Organization |
| Organization Name | MGM MEDICAL CENTER |
| Practice Address |
262 William St East Orange NJ 07017-4324 |
| Practice Telephone | 9738180539 |
| Mailing Telephone | 9738180539 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MALEKA ROBINSON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 9738180539 |
| Authorized Official Credential | APRN-BC, MSN, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 262 William St, East Orange, NJ 070174324 | 9738180539 |
| Street Address |
262 WILLIAM ST |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07017-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993101 | Yvonne Jansen-pearce | Licensed Practical Nurse | 212 N Mum Ave., East Orange, NJ 07017 | 2019-07-01 |
| 1356821508 | Kinfolk Advanced Illness Nurse Practitioners | Nurse Practitioner | 16 Eastwood St, East Orange, NJ 07017 | 2018-08-17 |
| 1619490992 | Holy Hands Enterprises L.l.c | Home Health | 7 Glenwood Ave., Suite 419-b, 4th Floor., East Orange, NJ 07017 | 2017-07-19 |
| 1760902688 | Kenneth Amoah Gyan | Nurse Practitioner | 28a Melmore Gardens, East Orange, NJ 07017 | 2017-06-21 |
| 1487002192 | Robert William Reilly | Student in an Organized Health Care Education/Training Program | 344 Prospect Street, East Orange, NJ 07017 | 2016-06-03 |
| 1497114474 | Alicja U Pietrzak | Behavioral Analyst | 60 Evergreen Pl., 3rd Floor Suite 309, East Orange, NJ 07017 | 2016-02-18 |
| 1396147658 | Angela Gordon | Licensed Practical Nurse | 12 Lawton Street, East Orange, NJ 07017 | 2014-09-18 |
| 1063716488 | Yonas T Mehari | Specialist | 251 Hoffman Blvd, East Orange, NJ 07017 | 2010-12-28 |
| 1275833857 | Urban Healthcare Initiative Program Inc | Clinic/Center | 613 Park Avenue, East Orange, NJ 07017 | 2010-10-28 |
| 1881813285 | Trans America Care | Non-emergency Medical Transport (VAN) | 55 Washington Street, Suite# 308, East Orange, NJ 07017 | 2007-04-24 |
| Find all providers in zip 07017 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992861116 | Suzanne W Botrous | Clinic/Center | 185 Central Ave Ste 308, East Orange, NJ 07018-3318 | 2006-12-29 |
| 1578932604 | Prospect Eogh, Inc. | Clinic/Center | 240 Central Ave, East Orange, NJ 07018-3313 | 2015-09-18 |
| 1154662153 | A1 Medical Care PC | Clinic/Center | 310 Central Ave, Suite 310, East Orange, NJ 07018-2835 | 2013-03-15 |
| 1992942098 | East Orange General Hospital | Clinic/Center | 300 Central Ave, East Orange, NJ 07018-2819 | 2009-01-12 |
| 1932316403 | Agape Pediatric Center | Clinic/Center | 185 Central Ave, Suite 401, East Orange, NJ 07018-3332 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089355 | Trans Pacific Medical PC | Clinic/Center | 1590 Anderson Ave Ph 1, Fort Lee, NJ 07024-2711 | 2020-09-26 |
| 1700402609 | Loihle Medical | Clinic/Center | 93 Montgomery St, Bloomfield, NJ 07003-6003 | 2020-06-17 |
| 1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
| 1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
| 1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| 1790253722 | Completecure Medical Associates, LLC | Clinic/Center | 1005 Clifton Ave Ste 201, Clifton, NJ 07013-3523 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07017 |
Please comment or provide details below to improve the information on MGM MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.