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Organization
MY HOME DOCTOR OF NEW JERSEY, LLC
Active
Organization
MY HOME DOCTOR OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK D. KAVANAGH MD (OWNER)
(305) 354-0358
Entity
Organization
Contact information
Practice address
28 VALLEY RD, MONTCLAIR, NJ 07042
(888) 696-4322
Mailing address
PO BOX 112, HARRISON, NJ 07029-0112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/12/2025
Last updated
01/16/2026
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