Mgm Ketamine Services LLC
Emergency Medicine in Oradell, New Jersey
1225774326- Practice location
- 690 Kinderkamack RD Ste 103, Oradell, NJ 07649-1524
- Phone
- 201-483-3760
- Fax
- —
- Last updated
- May 11, 2022
Mgm Ketamine Services LLC is a healthcare organization based in Oradell, NJ. Mgm Ketamine Services LLC practices in Oradell, NJ. The NPI Number for Mgm Ketamine Services LLC is 1225774326. The current practice location address for Mgm Ketamine Services LLC is 690 Kinderkamack RD Ste 103, Oradell, NJ 07649-1524 and can be reached out via phone at 201-483-3760.
Provider Profile Details
- NPI Number
- 1225774326
- Provider Name
- Mgm Ketamine Services LLC
- Provider Entity Type
- Organization
- Address
- 690 Kinderkamack RD Ste 103, Oradell, NJ 07649-1524
- Phone Number
- 201-483-3760
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Cheryl Malina, MD · Physician · 201-483-3760
- Other Names
- Mgm Ketamine Center (Doing Business As)
- Provider Enumeration Date
- May 11, 2022
- Last Update Date
- May 11, 2022
- Certification Date
- April 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 690 Kinderkamack RD Ste 103
Oradell, NJ 07649-1524 - City
- Oradell
- State
- New Jersey
- Zip
- 07649-1524
- Phone Number
- 201-483-3760
Provider Business Mailing Address Details
- Address
- 59 Glenorchy Pl
New Rochelle, NY 10804-3512 - City
- New Rochelle
- State
- NY
- Zip
- 10804-3512
- Phone Number
- 201-483-3760
License Information
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mgm Ketamine Services LLC?
The NPI number of Mgm Ketamine Services LLC is 1225774326. It was assigned on May 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Mgm Ketamine Services LLC?
Mgm Ketamine Services LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).
Where does Mgm Ketamine Services LLC practice?
The practice location is 690 Kinderkamack RD Ste 103, Oradell, NJ 07649-1524. The office can be reached at 201-483-3760 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225774326 directly on the NPPES registry website.