Active NPI
M.J. Mintz D.O.,P.C
- General Practice Physician
- Dover, NJ
National Provider Identifier
1285122812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25MB01526300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS0538 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1588692982
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- Pompton Plains, NJ
- NPI 1235197559
-
- Geriatric Medicine (Internal Medicine) Physician
- Lyons, NJ
- NPI 1942330584
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.