Provider Demographics
NPI:1851683700
Name:NP MEDICAL CARE LLC
Entity Type:Organization
Organization Name:NP MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DARVISH-MAHTABFAR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:201-376-9311
Mailing Address - Street 1:288 GREENRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2012
Mailing Address - Country:US
Mailing Address - Phone:201-376-9311
Mailing Address - Fax:
Practice Address - Street 1:288 GREENRIDGE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2012
Practice Address - Country:US
Practice Address - Phone:201-376-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
281P00000X, 282N00000X, 283Q00000X, 3104A0625X
NJ314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No281P00000XHospitalsChronic Disease Hospital
No283Q00000XHospitalsPsychiatric Hospital
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1326089673OtherNPI
NJ1326089673OtherNPI