Active NPIOrganization

My Home Doctor Of New Jersey, LLC

Internal Medicine in Montclair, New Jersey

NPI Number1396621983
Practice location
28 Valley RD, Montclair, NJ 07042
Fax
—
Last updated
January 16, 2026

My Home Doctor Of New Jersey, LLC is a healthcare organization based in Montclair, NJ. My Home Doctor Of New Jersey, LLC practices in Montclair, NJ. The NPI Number for My Home Doctor Of New Jersey, LLC is 1396621983. The current practice location address for My Home Doctor Of New Jersey, LLC is 28 Valley RD, Montclair, NJ 07042 and can be reached out via phone at 888-696-4322.

Provider Profile Details

NPI Number
1396621983
Provider Name
My Home Doctor Of New Jersey, LLC
Provider Entity Type
Organization
Address
28 Valley RD, Montclair, NJ 07042
Phone Number
888-696-4322
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. Patrick D. Kavanagh, MD · Owner · 305-354-0358
Provider Enumeration Date
August 12, 2025
Last Update Date
January 16, 2026
Certification Date
January 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Valley RD
Montclair, NJ 07042
Zip
07042
Phone Number
888-696-4322
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
Po Box 112
Harrison, NJ 07029-0112
City
Harrison
State
NJ
Zip
07029-0112

License Information

Taxonomy (1)
Nurse Practitioner · 363L00000X
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 My Home Doctor Of New Jersey, LLC?

The NPI number of My Home Doctor Of New Jersey, LLC is 1396621983. It was assigned on August 12, 2025 and is currently active in the NPPES registry.

What is the specialty of My Home Doctor Of New Jersey, LLC?

My Home Doctor Of New Jersey, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).

Where does My Home Doctor Of New Jersey, LLC practice?

The practice location is 28 Valley RD, Montclair, NJ 07042. The office can be reached at 888-696-4322 (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 1396621983 directly on the NPPES registry website.

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