Michelle A Mint-Sorensen, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00138600 Issued in NJ

Practice address

102 James St.
Suite 202
Edison, NJ 08820-3945

Phone

(732) 548-5541

Fax

(732) 548-2610

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: michelle.sorensen.p51@direct.medcor.nextgenshare.com
• Direct secure messaging: michelle.sorensen.p27@direct.medcor.nextgenshare.com
• Direct secure messaging: michelle.sorensen.p32@direct.medcor.nextgenshare.com

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265596555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OSCEOLA AVE",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461807",
            "telephone_number": "732-667-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JAMES ST.",
            "address_2": "SUITE 202",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203945",
            "telephone_number": "732-548-5541",
            "fax_number": "732-548-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINT-SORENSEN",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00138600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene E. Milne, M.D.
• Lewis Martin Milrod, M.D.
• Scott Minchello, MS, LPC
• Mindspire
• Sue Xue Ming, MD
• Mintex Care Corporation
• Muhammad Mirani, PT
• Kanesha Mireko
• Ginamarie Miro
• Kenneth I Mirsky, MD

• Medical Physician Assistant in Edison, NJ
• Providers in Edison, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.