Individual provider Active NPI

Mina Aknouk, MD

  • Internal Medicine Physician
  • Passaic, NJ
National Provider Identifier
1073133013
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11839000 Issued in NJ
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

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230816003942 NJ Practitioner - Internal Medicine 2668834045 Reassigns benefits to 3 organizations
I20231227001348 TN Practitioner - Hospitalist 2668834045 Reassigns benefits to 2 organizations
I20240919002118 SC Practitioner - Internal Medicine 2668834045 Reassigns benefits to 2 organizations
I20260218001700 AL Practitioner - Internal Medicine 2668834045 Reassigns benefits to 2 organizations

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
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

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 Hospital, Charleston, SC, CCN 420079
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039
  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Lincoln Medical Center Hospital, Fayetteville, TN, CCN 440102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47168ALMDInternal Medicine Physician
25MA11839000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 1, 2023 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Sep 15, 2025 Accepting new patients
Inpatient Consultants of Alabama, Inc Internal Medicine CurrentSince Mar 1, 2026 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.