Mink Angel LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

MINK ANGEL LLC

Practice address

5631 N 16TH St
Philadelphia, PA 19141-1710

Phone

(267) 627-4740

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

Angela Rachelle Johnson

Title

Ceo

Phone

(267) 408-7984

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1154063345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W SEYMOUR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443661",
            "telephone_number": "126-740-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 N 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411710",
            "telephone_number": "267-627-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINK ANGEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-408-7984"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minimally Invasive Care Institute of Philadelphia LLC
• Corrado Minimo, M.D.
• Steven L. Minion, MD
• Dean Minissale
• Joseph Minissale
• Jonah Mink, MD
• Jennifer Minkin, PSY.D.
• Irina Minkovich, RPH
• Andy J Minn, M.D.
• Madison Ann Minnick, PA-C

• Prosthetics Case Management in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetics Case Management in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.