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MMC PROVIDER SERVICES
NPI 1932647872
Anesthesiology - Critical Care Medicine in Long Branch, NJ

Active since February 10, 2017
300 2ND AVE, LONG BRANCH, NJ 07740(732) 557-8000 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2021, Jul 28, 2020, Jul 13, 2020 and 1 more (4 updates tracked since 2017).

About Mmc Provider Services NPPES

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

MMC PROVIDER SERVICES (NPI 1932647872) is a healthcare organization registered as a critical care medicine in Long Branch, New Jersey and active in the NPI registry since February 2017. The organization maintains a secondary practice location in West Orange and lists Jacqueline Mintz, Dir. Finance, as its authorized official.

NPPES Registry Identity

NPI1932647872
Entity TypeOrganization
Primary Taxonomy207LC0200X
Legal Business NameMMC PROVIDER SERVICES
Location Address300 2ND AVELong Branch, NJ 07740-6303
Mailing Address95 Old Short Hills RdWest Orange, NJ 07052-1008 · (732) 423-7497
Phone(732) 557-8000
Organization SubpartNo
Authorized OfficialJacqueline MintzDir. Finance · (732) 423-7497
Enumeration DateFebruary 10, 2017
Last NPPES UpdateJuly 29, 20214 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1932647872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
300 2ND AVE, Long Branch, NJ 07740
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Secondary Practice Location 1

Location 195 Old Short Hills RdWest Orange, NJ 07052-1008 · Phone (732) 423-7497

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

Other Providers at the Same Location NPPES 20

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

ALEXANDRA M LASKOWSKI M.D.
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-7251
FLORENCE ARMOUR APN
Nurse Practitioner (Adult Health)
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-6635
MICHELLE WOODFIELD MD
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-7251
DR. KARAN JAYESHKUMAR YAGNIK MD
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (440) 403-5523
JULIE A CONTE CRNA
Nurse Anesthetist, Certified Registered
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
KATHLEEN STANIER NP
Nurse Practitioner
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
MICHAEL EAGAN MD
Emergency Medicine
300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Monmouth County (732) 923-8882
DR. TEE YIN TRACY TEO D.O
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (631) 726-0409

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 Mmc Provider Services's NPI number?

The NPI number for Mmc Provider Services is 1932647872. It was assigned to this organization in the NPPES registry on February 10, 2017.

Where is Mmc Provider Services located?

Mmc Provider Services is located at 300 2nd Ave, Long Branch, NJ 07740. The listed phone number is (732) 557-8000.

What is Mmc Provider Services's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

When was this NPI record last updated?

The NPPES record for Mmc Provider Services was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.