Individual provider Active NPI

Adina Mintz, PA

  • Physician Assistant
  • Lakewood, NJ
National Provider Identifier
1477706539
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00208900 Issued in NJ
Practice address
1091 River Ave
Lakewood, NJ 08701-5641
Phone
(732) 385-6820
NPI assigned
Nov 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053702 PA
Physician Assistant 363A00000X 25MP00208900 NJ Primary

Addresses

Primary practice location

1091 River Ave
Lakewood, NJ 08701-5641

Mailing address

1166 River Ave Ste 201
Lakewood, NJ 08701-5600
Phone (732) 201-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170214002657 NJ Practitioner - Physician Assistant 7012191968 Reassigns benefits to 3 organizations
I20170405001660 PA Practitioner - Physician Assistant 7012191968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, shared by 5 NPIs, 106 clinicians

Practice addresses (Care Compare)

108 Hillside Blvd
Lakewood, NJ 08701-3148
Phone (732) 364-2144

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144

1771 Madison Ave
Lakewood, NJ 08701-1251

485 Locust St
Lakewood, NJ 08701-5896
Phone (732) 576-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005842GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center Inc CurrentSince Dec 23, 2023 Accepting new patients
Friendly Urgent Care, LLC CurrentSince Jun 23, 2019 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Dec 23, 2023 Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

108 Hillside Blvd
Lakewood, NJ 08701
Phone (732) 576-2273

1091 River Ave
Lakewood, NJ 08701
Phone (732) 385-6820

1428 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 591-1350

Interoperability endpoints

  • Direct secure messaging: adina.mintz@chemed.eclinicaldirectplus.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1477706539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 RIVER AVE STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015600",
            "telephone_number": "732-201-6131",
            "fax_number": "732-307-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015641",
            "telephone_number": "732-385-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "ADINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053702",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00208900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.