Michelle Suzanne Mintz

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

303 5TH Ave RM 1403
New York, NY 10016

Phone

(917) 846-8210

NPI assigned

May 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Michelle Suzanne Mintz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1295171528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166640",
            "telephone_number": "917-846-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1403",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "917-846-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "MICHELLE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MINTZ",
            "middle_name": "SUZANNE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas N. Mintz, M.D.
• Julie K. Mintz, RN
• Letty J. Mintz, ANP
• Marsha Lynn Mintz, LMSW
• Michael Jason Mintz, MD
• Sarah Bogorad Mintz, DPT
• Sophie Rose Mintz
• Zelik S Mintz, L.C.S,W,, L.P.
• Amanda Golden Mintzer, PSY.D
• Dawn Saks Mintzer, M.S.,R.D.,C.D.N.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.