Mgm Ketamine Services LLC
NPI 1225774326 · Emergency Medicine Physician · Oradell, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mgm Ketamine Services LLC is a Emergency Medicine Physician organization in Oradell, NJ (NPI 1225774326).
Provider details
- NPI number
- 1225774326
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Malina, Physician(201) 483-3760
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mgm Ketamine Center
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
- Certified
- 2022-04-27
Frequently asked questions
- What is Mgm Ketamine Services LLC's NPI number?
- Mgm Ketamine Services LLC's National Provider Identifier (NPI) is 1225774326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mgm Ketamine Services LLC?
- Mgm Ketamine Services LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mgm Ketamine Services LLC located?
- Mgm Ketamine Services LLC's practice location on file with NPPES is 690 Kinderkamack Rd Ste 103, Oradell, NJ 07649-1524.
- What is Mgm Ketamine Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Mgm Ketamine Services LLC is (201) 483-3760.
- Does Mgm Ketamine Services LLC accept Medicare?
- Mgm Ketamine Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mgm Ketamine Services LLC?
- The authorized official listed on Mgm Ketamine Services LLC's NPPES record is Cheryl Malina, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mgm Ketamine Services LLC's NPI active?
- Yes — Mgm Ketamine Services LLC's NPI (1225774326) is active in the NPPES registry as of the last update on 2022-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.