MPV NEW JERSEY MD SERVICES PC
NPI 1083360002
Durable Medical Equipment & Medical Supplies in Clifton, NJ

Q: What is Mpv New Jersey MD Services PC's NPI number?

The NPI number for Mpv New Jersey MD Services PC is 1083360002. It was assigned to this organization in the NPPES registry on February 28, 2022.

Q: What is Mpv New Jersey MD Services PC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since February 28, 2022CLIA 31D2251619 · Waiver

1355 BROAD ST, CLIFTON, NJ 07013(973) 778-5566 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mpv New Jersey Md Services Pc NPPES

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

MPV NEW JERSEY MD SERVICES PC (NPI 1083360002) is a healthcare organization registered as a durable medical equipment & medical supplies in Clifton, New Jersey and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Stephen C. Petrovich, Evp General Counsel, as its authorized official.

NPPES Registry Identity

NPI1083360002

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMPV NEW JERSEY MD SERVICES PC

Location Address1355 BROAD STClifton, NJ 07013-4221

Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195

Phone(973) 778-5566

Organization SubpartNo

Authorized OfficialStephen C. PetrovichEvp General Counsel · (615) 296-3594

Enumeration DateFebruary 28, 2022

NPPES CertifiedFebruary 28, 2022

✔ NPI 1083360002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedFamily MedicineTaxonomy 207Q00000X

1355 BROAD ST, Clifton, NJ 07013

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2251619

Mpv New Jersey MD Services, PC · Clifton, NJ

Active · expires Feb 3, 2028

CLIA Number31D2251619

Laboratory TypePhysician Office

Certificate Effective DateFebruary 4, 2026

Certificate Expiration DateFebruary 3, 2028

Laboratory DirectorMichael Basista

Laboratory Phone(973) 778-5566

Laboratory LocationMpv New Jersey MD Services, PC1355 Broad Street, Clifton, NJ 07013

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NADINE MARIE AKTAN APN

Nurse Practitioner (Family)