Mark Mintz, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

25MA04721900 Issued in NJ

Practice address

1001 Laurel Oak Rd
Suite E-2
Voorhees, NJ 08043-3506

Phone

(856) 346-0005

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Lourdes Medical Associates PA

  • Family Medicine Physician
  • Haddon Heights, NJ
  • NPI 1568441541
  NPD (past)
• Lourdes Medical Associates, PA

  dba Lourdes Medical Associates Surigcal Specialists

  • Surgery Physician
  • Moorestown, NJ
  • NPI 1952645525
  NPD (past)
• The Center for Neurological and Neurodevelopmental Health, LLC

  dba CNNH

  • Neurology Physician
  • Voorhees, NJ
  • NPI 1962682989
  NPD (past)
• Youth Advocate Programs, Inc.

  • Community/Behavioral Health Agency
  • Harrisburg, PA
  • NPI 1679627863
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1649258450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LAUREL OAK RD",
            "address_2": "SUITE E-2",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433506",
            "telephone_number": "856-346-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LAUREL OAK RD",
            "address_2": "SUITE E-2",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433506",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA04721900",
            "primary": true
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NJ",
            "license": "25MA04721900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Milnes
• Christopher Anders Milton, CRNA, DNP
• Victoria Minneci, APN
• Robert Minor, M.D.
• Ashley Minore
• Randy T Mintz, MD
• Patricia Miracle-Botley
• Pushpa P Mirchandani, M.D.
• Mirmanesh Medicine
• Shraddha Mittal, MD

• Neurology with Special Qualifications in Child Neurology Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.