MMC PROVIDER SERVICES NPI 1932647872

NPI Information

  • NPI: 1932647872
  • Provider Name: MMC PROVIDER SERVICES
  • Classification: Anesthesiology - 207LC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 300 2ND AVE
    LONG BRANCH, NJ
    ZIP 07740
  • Phone: (732) 557-8000

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NPI Details

MMC PROVIDER SERVICES is a critical care medicine anesthesiology in Long Branch, NJ. The provider is 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. MMC PROVIDER SERVICES NPI is 1932647872. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 2ND AVE
LONG BRANCH, NJ
ZIP 07740-303
Phone: (732) 557-8000

The provider's authorized official is Jacqueline Mintz .
The authorized official title is Dir. Finance and has the following contact phone number (732) 423-7497.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 7/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LC0200XAnesthesiologyCritical Care MedicineYes
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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