Active NPI
Mina Aknouk, MD
- Internal Medicine Physician
- Passaic, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA11839000
- Practice address
- 350 Boulevard
Passaic, NJ 07055-2840 - Phone
- (484) 965-9566
- Fax
- (484) 965-9567
- NPI assigned
- Apr 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA11839000 | NJ | Primary |
| Internal Medicine Physician | 207R00000X | 69499 | TN | |
| Internal Medicine Physician | 207R00000X | 47168 | AL |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
PO Box 885
Blue Bell, PA 19422-0885
Other practice location 1
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 840-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, TN, SC, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital PLZ
Old Bridge, NJ 08857-3012
Phone (732) 360-1000
25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (843) 681-6122
530 New Brunswick Ave
Raritan Bay Medical Center Perth
Perth Amboy, NJ 08861-3654
Phone (732) 324-5007
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000
65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000
742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000
Hospital & facility affiliations
- Trident Medical Center
- Baptist Memorial Hospital
- Raritan Bay Medical Center
- St Francis Hospital
- Lincoln Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47168 | AL | MD | Internal Medicine Physician |
| 25MA11839000 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Physicians of New Jersey PA | Internal Medicine | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Alabama, Inc | Internal Medicine | Current | Accepting new patients |
| Trident Medical Center, LLC | Past | Accepting new patients |
Locations
3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000
65 James St
Edison, NJ 08820
Phone (732) 321-7010
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
1000 Medical Center Dr
Hardeeville, SC 29927
Phone (843) 784-8138
25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- maknouk595689@direct.bmhcc.org
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Edison, NJ
- NPI 1588021851
Internal Medicine
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Internal Medicine
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1336625425
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
AL, SC
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Old Bridge, NJ
- NPI 1356828172
-
- General Acute Care Hospital
- Perth Amboy, NJ
- NPI 1790297455
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1952326977
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- Rural Acute Care Hospital
- Fayetteville, TN
- NPI 1255066460
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1073133013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 885",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194220885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BOULEVARD",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552840",
"telephone_number": "484-965-9566",
"fax_number": "484-965-9567"
}
],
"practiceLocations": [
{
"address_1": "425 Jack Martin Blvd",
"address_purpose": "LOCATION",
"city": "Brick",
"state": "NJ",
"postal_code": "087247732",
"country_code": "US",
"telephone_number": "732-840-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKNOUK",
"first_name": "MINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA11839000",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "69499",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "47168",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.