Provider Demographics
NPI:1134089410
Name:JJMV MEDSPA LLC
Entity type:Organization
Organization Name:JJMV MEDSPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDMOND JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MEJIAS -VENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-358-9205
Mailing Address - Street 1:7 S MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1578
Mailing Address - Country:US
Mailing Address - Phone:732-358-9205
Mailing Address - Fax:
Practice Address - Street 1:7 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1578
Practice Address - Country:US
Practice Address - Phone:732-358-9205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty