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MPV NEW JERSEY MD SERVICES PC
NPI 1801542816
Durable Medical Equipment & Medical Supplies in Bloomfield, NJ

Active since February 28, 2022CLIA 31D0874748 · Waiver
557 BROAD ST, BLOOMFIELD, NJ 07003(973) 778-5566 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1801542816) is a healthcare organization registered as a durable medical equipment & medical supplies in Bloomfield, New Jersey and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Stephen C. Petrovich, Svp General Counsel, as its authorized official.

NPPES Registry Identity

NPI1801542816
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMPV NEW JERSEY MD SERVICES PC
Location Address557 BROAD STBloomfield, NJ 07003-2885
Mailing Address1 Burton Hills Blvd Ste 250Nashville, TN 37215-6195
Phone(973) 778-5566
Organization SubpartNo
Authorized OfficialStephen C. PetrovichSvp General Counsel · (615) 296-3594
Enumeration DateFebruary 28, 2022
NPPES CertifiedFebruary 28, 2022
✔ NPI 1801542816 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
557 BROAD ST, Bloomfield, NJ 07003
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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 31D0874748

Mpv New Jersey MD Services, Acute Care Center · Bloomfield, NJ
Active · expires Jan 19, 2028
CLIA Number31D0874748
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorMichael I. Basista
Laboratory Phone(201) 383-1907
Laboratory LocationMpv New Jersey MD Services, Acute Care Center557 Broad Street, Bloomfield, NJ 07003
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

IMMEDICENTER BLOOMFIELD
Family Medicine
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 680-8300
MS. MICHELE WEISBERGER RD
Dietitian, Registered
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 680-8300
DR. PARUL S. AMIN M.D.
Internal Medicine
557 BROAD ST, RM 22
BLOOMFIELD, NJ 07003
Essex County (973) 667-6650
ASTIR PHYSICAL THERAPY AND WELLNESS LLC
Physical Therapist
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 404-1800
MRS. ELIZABETH JANETTE VANDYK DNP, RN, FNP-C
Nurse Practitioner (Adult Health)
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 680-8300
DR. MICHAEL WILLIAM FREDA DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 748-2248
JOEL KIM
Physical Therapist
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 404-7067
FREDA & SURIANO ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
557 BROAD ST
BLOOMFIELD, NJ 07003
Essex County (973) 748-2248

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 Mpv New Jersey MD Services PC's NPI number?

The NPI number for Mpv New Jersey MD Services PC is 1801542816. It was assigned to this organization in the NPPES registry on February 28, 2022.

Where is Mpv New Jersey MD Services PC located?

Mpv New Jersey MD Services PC is located at 557 Broad St, Bloomfield, NJ 07003. The listed phone number is (973) 778-5566.

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.

Does Mpv New Jersey MD Services PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0874748) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mpv New Jersey MD Services PC was last updated on February 28, 2022. 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.