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
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/12/2025
Last updated
01/16/2026
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