Individual provider Active NPI

Dana Lynn Mincer, DO

  • Addiction Medicine (Family Medicine) Physician
  • Fort Washington, PA
National Provider Identifier
1063807329
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
OS019001 Issued in PA
Practice address
1035 Virginia Dr Ste 140
Fort Washington, PA 19034-3106
Phone
(484) 532-8812
Fax
(610) 298-9138
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X OS019001 PA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 25MB10441900 NJ

Addresses

Primary practice location

1035 Virginia Dr Ste 140
Fort Washington, PA 19034-3106

Mailing address

1035 Virginia Dr Ste 140
Fort Washington, PA 19034-3106
Phone (484) 532-8812

Other identifiers 1

IdentifierTypeStateIssuer
25MB10441900MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190722002918 PA Practitioner - Family Practice 7618203142 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10441900NJMDAddiction Medicine (Family Medicine) Physician
OS019001PAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHP MD PLLC CurrentSince Jun 1, 2022 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Jul 15, 2022 Accepting new patients
All American Urgent Care, P.C. CurrentSince Jul 15, 2022 Accepting new patients
Love Health DPC, PLLC Current Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

1035 Virginia Dr
Ste 140
Fort Washington, PA 19034
Phone (267) 532-8438

715 Route 113
#B
Souderton, PA 18964
Phone (267) 382-3220

2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777

Organizations & group practices 5

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1063807329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 VIRGINIA DR STE 140",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343106",
            "telephone_number": "484-532-8812",
            "fax_number": "610-298-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 VIRGINIA DR STE 140",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343106",
            "telephone_number": "484-532-8812",
            "fax_number": "610-298-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCER",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS019001",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MB10441900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25MB10441900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.