John Mincarelli

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CPRS-50289 Issued in NJ

Practice address

321 N Warren St
Trenton, NJ 08618-4794

Phone

(609) 278-5917

NPI assigned

Nov 9, 2018

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1053889899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804",
            "telephone_number": "609-267-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184794",
            "telephone_number": "609-278-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCARELLI",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-09",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NJ",
            "license": "CPRS-50289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradd R Millian, MD
• Donald Joel Millner, DMD
• Anna Milman, DO
• Jamie Jy Min, LSW
• Christopher George Mina
• Esubalew Mindaye
• Ashley Nicole Minter, BA
• David J Miranda, M.D.
• Narine Misakyan, MD
• Shubhendu Mishra, MD

• Peer Specialist in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.