Organization Active NPI

Mingin LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vineland, NJ
National Provider Identifier
1508535428
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
MINGIN LLC
Practice address
1237 W Sherman Ave
Vineland, NJ 08360-6920
Phone
(856) 696-7100
NPI assigned
Sep 13, 2021
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Dr. Todd A Mingin, DONPI 1801241708
Title
Ceo
Phone
(856) 500-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

1237 W Sherman Ave
Vineland, NJ 08360-6920

Mailing address

525 Route 73 N Ste 104
Marlton, NJ 08053-3422
Phone (856) 500-3331

Other practice location 1

1505 W Sherman Ave Ste 1061
Vineland, NJ 08360-7059
Phone (856) 641-8000

Other practice location 2

700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Phone (856) 508-1000

Other practice location 3

501 Front St, Elmer
Elmer, NJ 08318
Phone (856) 363-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220419000224 NJ Part B Supplier - Clinic/Group Practice 0244637775 Receives reassigned benefits from 1 practitioner
Practice locations: Vineland, NJ

National Provider Directory

National Provider Directory

Locations

1237 W Sherman Ave
Vineland, NJ 08360
Phone (856) 223-7718

1505 W Sherman Ave
Ste 1061
Vineland, NJ 08360

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1508535428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "856-500-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606920",
            "telephone_number": "856-696-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 W Sherman Ave Ste 1061",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083607059",
            "country_code": "US",
            "telephone_number": "856-641-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Mullica Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080624413",
            "country_code": "US",
            "telephone_number": "856-508-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Front St, Elmer",
            "address_purpose": "LOCATION",
            "city": "Elmer",
            "state": "NJ",
            "postal_code": "08318",
            "country_code": "US",
            "telephone_number": "856-363-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINGIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MINGIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-500-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.