Mind and Body Telemedicine LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MIND AND BODY TELEMEDICINE LLC

Practice address

28 Saint Moritz LN
Cherry Hill, NJ 08003-5122

Phone

(732) 659-1051

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karuna Poddar, MD

Title

Partner

Phone

(732) 659-1051

Specialties & licenses 6

Addresses

Tax ID family

Mind and Body Telemedicine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mind and Body Telemedicine LLC

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1366216392
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sameer S Poddar, MD MPH

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1740591247
  NPD

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1275362709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SAINT MORITZ LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080035122",
            "telephone_number": "732-659-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SAINT MORITZ LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080035122",
            "telephone_number": "732-659-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY TELEMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "PODDAR",
        "authorized_official_first_name": "KARUNA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-659-1051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Milton, DMD
• Alexander Milyavsky
• Mincarelli Homecare L.L.C. (Visiting Angels of Cherry Hill)
• Christine D Mincone, OT
• Mind and Body Medicine LLC
• Mindful Journeys Counseling Services
• Teresa Minerva
• Emily Joy Mines, APN
• Darwin C Minguez, PT
• Michelle Minieri, LPC

• Multi-Specialty Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.