Healthcare Provider Details

I. General information

NPI: 1992254445
Provider Name (Legal Business Name): MEDOCITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 09/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UPPER POND RD BLDG D, 3RD FL
PARSIPPANY NJ
07054-1050
US

IV. Provider business mailing address

1 UPPER POND RD BLDG D, 3RD FL
PARSIPPANY NJ
07054-1050
US

V. Phone/Fax

Practice location:
  • Phone: 973-679-8242
  • Fax:
Mailing address:
  • Phone: 973-679-8242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANIL BALANI
Title or Position: CHIEF TECHNOLOGY OFFICER
Credential:
Phone: 973-679-8242