Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mgm Ketamine Services LLC

Organization Emergency Medicine Physician · NPI 1225774326

Mgm Ketamine Services LLC is an Emergency Medicine Physician in Oradell, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

690 Kinderkamack Rd Ste 103
Oradell, NJ 07649-1524
Phone: (201) 483-3760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1225774326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Malina — Physician · (201) 483-3760
Other names Mgm Ketamine Center
NPI enumeratedMay 11, 2022
Last updated in NPPESMay 11, 2022
Certification dateApril 27, 2022
Mailing address59 Glenorchy Pl, New Rochelle, NY 10804-3512

Other providers in Oradell