Organization Active NPI

Mino MD LLC

  • Internal Medicine Physician
  • Paramus, NJ
National Provider Identifier
1184540361
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.