Provider Demographics
NPI:1063903292
Name:MEDICAL ACCESS GROUP
Entity type:Organization
Organization Name:MEDICAL ACCESS GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:LA ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-232-6484
Mailing Address - Street 1:460 PARK AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1716
Mailing Address - Country:US
Mailing Address - Phone:908-232-6484
Mailing Address - Fax:908-232-6646
Practice Address - Street 1:460 PARK AVE FL 2
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1716
Practice Address - Country:US
Practice Address - Phone:908-232-6484
Practice Address - Fax:908-232-6646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health