Individual
DR. MERVIN GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 LIVINGSTON AVE UNIT 401, NEW BRUNSWICK, NJ 08901-1991
(917) 881-1223
Mailing address
20 LIVINGSTON AVE UNIT 401, NEW BRUNSWICK, NJ 08901-1991
(917) 881-1223
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
174172
FL
207P00000X
Emergency Medicine Physician
00024696
AL
207P00000X
Emergency Medicine Physician
174172
FL
207P00000X
Emergency Medicine Physician
213359
NY
207P00000X
Emergency Medicine Physician
Primary
25MA08065400
NJ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
174172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107336
—
NJ
01
—
051509907
BCBS PROVIDER NUMBER
AL
05
—
051509907
—
AL
01
—
91002398002/NON PAR
AMERICHOICE/KING
NJ
01
—
930118897
RRMC PROVIDER NUMBER
AL
01
—
P00451724
RAILROAD MEDICARE
NJ
Enumeration date
11/14/2005
Last updated
10/23/2025
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