Individual provider Active NPI

Rebecca Riad Mina, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodbury Heights, NJ
National Provider Identifier
1376165357
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00377100 Issued in NJ
Practice address
19 Maple Ave Ste a
Woodbury Heights, NJ 08097-1128
Phone
(856) 384-1333
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00377100 NJ Primary

Addresses

Primary practice location

19 Maple Ave Ste a
Woodbury Heights, NJ 08097-1128

Mailing address

19 Maple Ave Ste a
Woodbury Heights, NJ 08097-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026001948 NJ Practitioner - Podiatry 8527414564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harsh Patel DPM PA Podiatrist CurrentSince Aug 2, 2023 Accepting new patients
Harsh Patel DPM PA Podiatrist CurrentSince Aug 2, 2023 Accepting new patients

Locations

19 Maple Ave
#A
Woodbury Heights, NJ 08097
Phone (856) 384-1333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1376165357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MAPLE AVE STE A",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MAPLE AVE STE A",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971128",
            "telephone_number": "856-384-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "REBECCA",
        "middle_name": "RIAD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00377100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

Verify at the official NPI Registry.