Organization Active NPI

M.J. Mintz D.O.,P.C

  • General Practice Physician
  • Dover, NJ
National Provider Identifier
1285122812
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25MB01526300 Issued in NJ
Legal business name
M.J. MINTZ D.O.,P.C
Practice address
13 Michael CT
Dover, NJ 07801-3714
Phone
(973) 216-4009
Fax
(862) 244-4145
NPI assigned
Apr 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Milton J Mintz, DO
Title
Owner
Phone
(973) 216-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 25MB01526300 NJ Primary

Addresses

Primary practice location

13 Michael CT
Dover, NJ 07801-3714

Mailing address

13 Michael CT
Dover, NJ 07801-3714
Phone (973) 216-4009

Other identifiers 1

IdentifierTypeStateIssuer
DS0538OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1285122812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MICHAEL CT",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013714",
            "telephone_number": "973-216-4009",
            "fax_number": "862-244-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MICHAEL CT",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078013714",
            "telephone_number": "973-216-4009",
            "fax_number": "862-244-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.J. MINTZ D.O.,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-216-4009",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB01526300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DS0538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.