Individual provider Active NPI

Randy T Mintz, MD

  • Interventional Cardiology Physician
  • Voorhees, NJ
National Provider Identifier
1265403984
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA04920000 Issued in NJ
Practice address
1105 Laurel Oak Rd Ste 166
Voorhees, NJ 08043-4312
Phone
(856) 309-5869
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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 25MA04920000 NJ
Interventional Cardiology Physician 207RI0011X 25MA04920000 NJ Primary

Addresses

Primary practice location

1105 Laurel Oak Rd Ste 166
Voorhees, NJ 08043-4312

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7847700MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmintz5718@directvirtua.org
Direct Messaging Address rmintz5718@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000126 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1557318508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1985
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)

1 Brace Rd
Cherry Hill, NJ 08034-2600

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

1105 Laurel Oak Rd
Voorhees, NJ 08043-4312

1600 Haddon Ave
Camden, NJ 08103-3101

175 Madison Ave
Mount Holly, NJ 08060-2038

2 Sindoni LN
Hammonton, NJ 08037-1884

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting35
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04920000NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Oct 1, 2010 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 1, 2010 Accepting new patients
Lourdes Cardiology Services Cardiovascular Disease Past Accepting new patients
Associated Cardiovascular Consultants Cardiovascular Disease Past Accepting new patients
Cardiac Diagnostic Center of Southern New Jersey Cardiovascular Disease PastSince Nov 4, 1997 Accepting new patients
Cardiac Interpretation Services, LLC Cardiovascular Disease Past Accepting new patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease Past Accepting new patients

Locations

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

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

63 Kresson Rd
Ste 101
Cherry Hill, NJ 08034
Phone (856) 428-4100

2 Sindoni Ln
Ste C
Hammonton, NJ 08037

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

1105 Laurel Oak Rd
Ste 166
Voorhees, NJ 08043
Phone (856) 309-5869

2309 E Evesham Rd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-5400

2309 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-5400

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

Organizations & group practices 7

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1265403984",
    "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": "1105 LAUREL OAK RD STE 166",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434312",
            "telephone_number": "856-309-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "RANDY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04920000",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA04920000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7847700",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmintz5718@directvirtua.org",
            "affiliation": "N",
            "address_1": "1105 Laurel Oak Rd Ste 166",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmintz5718@directvirtua.org",
            "affiliation": "N",
            "address_1": "2 Sindoni Ln Ste C",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080371884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.