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MGM MEDICAL SERVICES LLC
NPI 1619634284
Emergency Medicine in Oradell, NJ

Active since November 18, 2021
690 KINDERKAMACK RD STE 103, ORADELL, NJ 07649(201) 267-4785 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mgm Medical Services Llc NPPES

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

MGM MEDICAL SERVICES LLC (NPI 1619634284), doing business as Mgm Ketamine Center, is a healthcare organization registered as an emergency medicine in Oradell, New Jersey and active in the NPI registry since November 2021. The organization lists Cheryl Malina, Md, as its authorized official.

NPPES Registry Identity

NPI1619634284
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMGM MEDICAL SERVICES LLC
Location Address690 KINDERKAMACK RD STE 103Oradell, NJ 07649-1524
Mailing Address59 Glenorchy PlNew Rochelle, NY 10804-3512 · (646) 345-1998
Phone(201) 267-4785
Organization SubpartNo
Authorized OfficialCheryl MalinaMd · (646) 345-1998
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1619634284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
690 KINDERKAMACK RD STE 103, Oradell, NJ 07649
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Other Names 1

Doing Business AsMgm Ketamine Center

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

Other Providers at the Same Location NPPES

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

MGM KETAMINE SERVICES LLC
Emergency Medicine
690 KINDERKAMACK RD STE 103
ORADELL, NJ 07649
Bergen County (201) 483-3760

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 Mgm Medical Services LLC's NPI number?

The NPI number for Mgm Medical Services LLC is 1619634284. It was assigned to this organization in the NPPES registry on November 18, 2021. The provider is doing business as MGM Ketamine Center.

Where is Mgm Medical Services LLC located?

Mgm Medical Services LLC is located at 690 Kinderkamack Rd Ste 103, Oradell, NJ 07649. The listed phone number is (201) 267-4785.

What is Mgm Medical Services LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mgm Medical Services LLC was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.