Active NPI
Mimi Nu Ton, M.D.
- Pediatric Gastroenterology Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 25MA08064000
- Practice address
- 201 Lyons Ave
Newark, NJ 07112-2027 - Phone
- (973) 926-4446
- Fax
- (973) 705-3148
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 218892 | NY | |
| Pediatric Gastroenterology Physician | 2080P0206X | 25MA08064000 | NJ | Primary |
Addresses
Primary practice location
201 Lyons Ave
Newark, NJ 07112-2027
Mailing address
28 W 3Rd St
Apartment 1419
South Orange, NJ 07079-1782
Phone (973) 763-6340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02580936 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060911000506 | NJ | Practitioner - Pediatric Medicine | 3678534534 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218892 | NY | MD | Pediatrics Physician |
| 25MA08064000 | NJ | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Pediatrics | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Specialist Peds at Lich | Pediatric Gastroenterology | Past | Accepting new patients |
| NJ Children'S Hospital Medical Group | Pediatrics | Past | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
201 Lyons Ave
Ste C9
Newark, NJ 07112
Phone (973) 926-7203
201 Lyons Ave
Ste L5
Newark, NJ 07112
Phone (973) 926-3500
90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900
375 Mount Pleasant Ave
Ste 105
West Orange, NJ 07052
Phone (973) 322-6900
Interoperability endpoints
- mton75210@epicdirect.rwjbh.org
Organizations & group practices 7
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.
-
- Pediatrics Physician
- Newark, NJ
- NPI 1679583272
NJ, Pediatrics
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
-
- Pediatric Hematology & Oncology Physician
- Newark, NJ
- NPI 1407814148
Pediatrics
-
- Pediatric Endocrinology Physician
- Brooklyn, NY
- NPI 1922055045
Pediatric Gastroenterology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1033178355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 W 3RD ST",
"address_2": "APARTMENT 1419",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791782",
"telephone_number": "973-763-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-4446",
"fax_number": "973-705-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TON",
"first_name": "MIMI",
"middle_name": "NU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "218892",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NJ",
"license": "25MA08064000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02580936",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.