Healthcare Provider Details

I. General information

NPI: 1366999450
Provider Name (Legal Business Name): MARS PREMIER CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2016
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 MCCARTER HWY STE 201
NEWARK NJ
07114-2562
US

IV. Provider business mailing address

375 MCCARTER HWY STE 201
NEWARK NJ
07114-2562
US

V. Phone/Fax

Practice location:
  • Phone: 929-204-1781
  • Fax:
Mailing address:
  • Phone: 929-204-1781
  • Fax: 888-767-9772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNJ

VIII. Authorized Official

Name: MELISSA MARS
Title or Position: OWNER
Credential:
Phone: 929-204-1781