MY HOME DOCTOR OF NEW JERSEY, LLC – NPI #1396621983
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

MY HOME DOCTOR OF NEW JERSEY, LLC is a provider located in MONTCLAIR, NJ. NPPES has assigned the NPI number 1396621983 to MY HOME DOCTOR OF NEW JERSEY, LLC on August 12, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Jan 16, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MY HOME DOCTOR OF NEW JERSEY, LLC below.

NPI Profile for
MY HOME DOCTOR OF NEW JERSEY, LLC

NPI Number
1396621983
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MY HOME DOCTOR OF NEW JERSEY, LLC
Primary location
28 VALLEY RD
MONTCLAIR, NJ 07042
Phone: (888) 696-4322 Fax:
Mailing address
PO BOX 112
HARRISON, NJ 07029-0112
Phone: Fax:
Organization Subpart
No
Authorized Official
PATRICK KAVANAGH
OWNER
Phone: (305) 354-0358
Updated
Certification Date
Jan 16, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
363L00000X
- Nurse Practitioner

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.