Individual provider Active NPI

Mina Oza, M.D.

  • Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1003856063
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0055464 Issued in FL
Practice address
311 North St Ste 201
White Plains, NY 10605-2232
Phone
(914) 639-3100
Fax
(914) 639-3101
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0055464 FL Primary

Addresses

Primary practice location

311 North St Ste 201
White Plains, NY 10605-2232

Mailing address

311 North St Ste 201
White Plains, NY 10605-2232
Phone (914) 639-3100

Other identifiers 1

IdentifierTypeStateIssuer
064223100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210204001013 NY Practitioner - Psychiatry 9436112885 Reassigns benefits to 1 organization
Practice locations: White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
2ND Arc Psychiatric Associates PLLCGroup PAC ID 3072946516, 2 clinicians

Practice addresses (Care Compare)

311 N St
Suite 201
White Plains, NY 10605-2232
Phone (914) 639-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0055464FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
2ND Arc Psychiatric Associates, PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

311 North St
Ste 201
White Plains, NY 10605
Phone (914) 639-3100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1003856063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORTH ST STE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052232",
            "telephone_number": "914-639-3100",
            "fax_number": "914-639-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH ST STE 201",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052232",
            "telephone_number": "914-639-3100",
            "fax_number": "914-639-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZA",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0055464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064223100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.