Healthcare Provider Details

I. General information

NPI: 1831998905
Provider Name (Legal Business Name): METROPOLITAN LIFE CORE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BROADWAY
BAYONNE NJ
07002
US

IV. Provider business mailing address

300 BROADWAY
BAYONNE NJ
07002
US

V. Phone/Fax

Practice location:
  • Phone: 201-243-0555
  • Fax: 201-243-1836
Mailing address:
  • Phone: 201-243-0555
  • Fax: 201-243-1836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMIE RYAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 201-243-0555