Individual provider Active NPI

Mindy Slater-Patti, PA

  • Physician Assistant
  • Toms River, NJ
National Provider Identifier
1508832213
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00076900 Issued in NJ
Practice address
111 West Water Street
Toms River, NJ 08754
Phone
(732) 244-4700
Fax
(732) 244-2804
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00076900 NJ Primary

Addresses

Primary practice location

111 West Water Street
Toms River, NJ 08754

Mailing address

111 W Water St
Toms River, NJ 08753-6407
Phone (732) 244-4700

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091007000322 NJ Practitioner - Physician Assistant 2365588274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Dermatology AssociatespcGroup PAC ID 1052377215, 16 clinicians

Practice addresses (Care Compare)

1950 Hwy 27
Suite a
North Brunswick, NJ 08902-1300
Phone (732) 297-8866

208 Bunn Dr
Princeton, NJ 08540-2851
Phone (609) 683-4999

Merit-based Incentive Payment System (MIPS)

Final score
98.04 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
93.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Dermatology Associates II LLC CurrentSince Apr 1, 2026 Accepting new patients
Windsor Dermatology PC Past Accepting new patients
SDG Dermatology PC Past Accepting new patients

Locations

307 Omni Dr
Hillsborough, NJ 08844
Phone (908) 281-6633

5 Centre Dr
Ste 1A
Monroe Township, NJ 08831
Phone (609) 655-4544

1950 Route 27
Ste A
North Brunswick, NJ 08902
Phone (732) 297-8866

1950 State Route 27
Ste 1A
North Brunswick, NJ 08902

5 Plainsboro Rd
Ste 550
Plainsboro, NJ 08536
Phone (609) 269-9230

208 Bunn Dr
Princeton, NJ 08540
Phone (609) 683-4999

Organizations & group practices 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1508832213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536407",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEST WATER STREET",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08754",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER-PATTI",
        "first_name": "MINDY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00076900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.