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Mideo Health Of New Jersey LLC

Emergency Medicine in Mullica Hill, NJ. Organization (NPI-2).

NPI number1407686272
StatusActive
Last updated in NPPESFeb 16, 2026

Details

NPI
1407686272
Entity type
Organization (NPI-2)
Legal business name
Mideo Health Of New Jersey LLC
Organization subpart
No
Enumeration date
Aug 6, 2024
Certification date
Feb 16, 2026
Last updated
Feb 16, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

130 Salvatore Dr
Mullica Hill, NJ 08062-2868

Phone 844-643-3648 · Fax 330-451-4172

Mailing address

2409 State St
Erie, PA 16503-1856

Phone 844-643-3648 · Fax 330-451-4172

Other practice locations

2409 State St
Erie, PA 16503-1856

Phone 844-643-3648 · Fax 330-451-4172

Authorized official

Ferdinando L Mirarchi
Ceo
8446433648

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Emergency Medicine Physician providers in Mullica Hill, NJ

All 7 Emergency Medicine Physician providers in Mullica Hill · All 555 providers in Mullica Hill

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