Active NPI
Minda A Green, M.D.
- Gynecology Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MA08618900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08618900 | NJ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Gynecology | Current | Accepting new patients |
| Drexel University | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.