Provider Demographics
NPI:1992254445
Name:MEDOCITY
Entity type:Organization
Organization Name:MEDOCITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF TECHNOLOGY OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BALANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-679-8242
Mailing Address - Street 1:1 UPPER POND RD
Mailing Address - Street 2:BLDG D, 3RD FL
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1050
Mailing Address - Country:US
Mailing Address - Phone:973-679-8242
Mailing Address - Fax:
Practice Address - Street 1:1 UPPER POND RD
Practice Address - Street 2:BLDG D, 3RD FL
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1050
Practice Address - Country:US
Practice Address - Phone:973-679-8242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care