Individual provider Active NPI

Minda A Green, M.D.

  • Gynecology Physician
  • Voorhees, NJ
National Provider Identifier
1245493022
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
25MA08618900 Issued in NJ
Practice address
2301 E Evesham Rd Ste 110a
Voorhees, NJ 08043-4501
Phone
(856) 325-4200
Fax
(856) 247-7575
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08618900 NJ
Gynecology Physician 207VG0400X 25MA08618900 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 110a
Voorhees, NJ 08043-4501

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

245 N 15th St # MS 495
Room 16121, 16th FL - NCB
Philadelphia, PA 19102-1101
Phone (215) 762-8220

Other practice location 2

200 Bowman Dr Ste 325C
Voorhees, NJ 08043-9623
Phone (856) 247-7420

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mgreen111147@directvirtua.org
Direct Messaging Address mgreen111147@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090821000045 PA Practitioner - Obstetrics/Gynecology 7719031012 Reassigns benefits to 1 organization
I20090902000380 NJ Practitioner - Obstetrics/Gynecology 7719031012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

200 Bowman Dr
Suite E365
Voorhees, NJ 08043-9639
Phone (856) 247-7295

2225 E Evesham Rd
Voorhees, NJ 08043-1557

3242 Route 206
Bordentown, NJ 08505-4517

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08618900NJMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Gynecology CurrentSince Dec 1, 2024 Accepting new patients
Drexel University Current Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2020 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1945 Route 70 E
Ste C
Cherry Hill, NJ 08003
Phone (856) 325-3760

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

2225 E Evesham Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 355-7133

200 Bowman Dr
Ste 325C
Voorhees, NJ 08043
Phone (856) 247-7420

2301 E Evesham Rd
Ste 110A
Voorhees, NJ 08043
Phone (856) 325-4200

200 Bowman Dr
Ste E340
Voorhees, NJ 08043
Phone (856) 247-7586

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1245493022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 110A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-325-4200",
            "fax_number": "856-247-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N 15th St # MS 495",
            "address_2": "Room 16121, 16th FL - NCB",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-8220",
            "fax_number": "215-762-1470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste 325C",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439623",
            "country_code": "US",
            "telephone_number": "856-247-7420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MINDA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08618900",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA08618900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgreen111147@directvirtua.org",
            "affiliation": "N",
            "address_1": "2301 E Evesham Rd Ste 110A",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgreen111147@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E340",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.