Healthcare Provider Details

I. General information

NPI: 1235068180
Provider Name (Legal Business Name): MMD COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 HAMILTON BLVD
SOUTH PLAINFIELD NJ
07080-2520
US

IV. Provider business mailing address

2950 HAMILTON BLVD
SOUTH PLAINFIELD NJ
07080-2520
US

V. Phone/Fax

Practice location:
  • Phone: 732-801-7683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OSAYAMEN LEBARTY
Title or Position: CO OWNER
Credential:
Phone: 347-733-0542