NPIMap

Individual provider Active NPI

Evan Mintz, MD

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1194752352
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
177586 Issued in NY
Practice address
310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432
Phone
(516) 829-9550
Fax
(516) 829-9718
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 177586 NY Primary
Internal Medicine Physician 207R00000X 177586 NY

Addresses

Primary practice location

310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432

Mailing address

310 E Shore Rd
Suite 104
Great Neck, NY 11023-2432
Phone (516) 829-9550

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally
Direct Messaging Address emintz43631@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000805 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7810021193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
  • NYU Langone Home Health Care Home health agency, Garden City, NY, CCN 337187
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
New York University Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
New York University Cardiovascular Disease Past Accepting new patients

Locations

310 E Shore Rd
Ste 104
Great Neck, NY 11023
Phone (516) 829-9550

1999 Marcus Ave
Ste 220
New Hyde Park, NY 11042
Phone (516) 335-5525

1999 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 233-3701

111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: emintz43631@nyumc.direct-ci.com

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1194752352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 104",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-829-9550",
            "fax_number": "516-829-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E SHORE RD",
            "address_2": "SUITE 104",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232432",
            "telephone_number": "516-829-9550",
            "fax_number": "516-829-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "177586",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emintz43631@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1999 Marcus Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.