Dr Jm LLC
Dr Jm LLC is an Exclusive Provider Organization in Brick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.
- Licensed in
- NJ
- In the registry since
- 2010
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
525 Route 70 E Ste 1-CBrick, NJ 08723-4022
Phone: (732) 279-6537
Fax: (732) 279-6542
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 25MA06682500 (NJ) |
|---|---|
| Health Maintenance Organization | Taxonomy 302R00000X · Licence 25MA06682500 (NJ) |
| Preferred Provider Organization | Taxonomy 305R00000X · Licence 25MA06682500 (NJ) |
| Point of Service | Taxonomy 305S00000X · Licence 25MA06682500 (NJ) |
Record details
| NPI number | 1659601789 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Mabagos — Owner · (732) 279-6537 |
| NPI enumerated | January 13, 2010 |
| Last updated in NPPES | January 13, 2010 |
| Mailing address | 525 Route 70 East, Suite 1-C, Brick, NJ 08723-4022 |