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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MED AT HOME LLC
NPI 1023946019
Nurse Practitioner - Gerontology in Allenhurst, NJ

Active since May 11, 2026
613 MYRTLE AVE, ALLENHURST, NJ 07711(718) 208-6747 Get Directions Write a Review

NPPES record added: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, May 11, 2026 (2 updates tracked since 2026).

About Med At Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED AT HOME LLC (NPI 1023946019) is a healthcare organization registered as a gerontology in Allenhurst, New Jersey and active in the NPI registry since May 2026. The organization lists Shirley Mamiye, Np, as its authorized official.

NPPES Registry Identity

NPI1023946019
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameMED AT HOME LLC
Location Address613 MYRTLE AVEAllenhurst, NJ 07711-1360
Mailing Address613 Myrtle AveAllenhurst, NJ 07711-1360 · (718) 208-6747
Phone(718) 208-6747
Organization SubpartNo
Authorized OfficialShirley MamiyeNp · (718) 208-6747
Enumeration DateMay 11, 2026
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1023946019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
613 MYRTLE AVE, Allenhurst, NJ 07711
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med At Home LLC's NPI number?

The NPI number for Med At Home LLC is 1023946019. It was assigned to this organization in the NPPES registry on May 11, 2026.

Where is Med At Home LLC located?

Med At Home LLC is located at 613 Myrtle Ave, Allenhurst, NJ 07711. The listed phone number is (718) 208-6747.

What is Med At Home LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Med At Home LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.