Active NPI
Mino MD LLC
- Internal Medicine Physician
- Paramus, NJ
National Provider Identifier
1184540361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MINO MD LLC
- Practice address
- 1 W Ridgewood Ave Ste 206
Paramus, NJ 07652-2361 - Phone
- (917) 707-2354
- NPI assigned
- Jun 24, 2026
- Last updated
- Jun 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toya Cornelious
- Title
- Chief Operating Officer
- Phone
- (856) 383-5101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
1 W Ridgewood Ave Ste 206
Paramus, NJ 07652-2361
Mailing address
2810 N Church St # 277990
Wilmington, DE 19802-4447
National Provider Directory
National Provider DirectoryLocations
2810 N Church St
#277990
Wilmington, DE 19802
1 W Ridgewood Ave
Ste 206
Paramus, NJ 07652
Phone (201) 493-0366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1184540361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N CHURCH ST # 277990",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198024447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W RIDGEWOOD AVE STE 206",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076522361",
"telephone_number": "917-707-2354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINO MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-23",
"status": "A",
"authorized_official_last_name": "CORNELIOUS",
"authorized_official_first_name": "TOYA",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "856-383-5101"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.