Individual provider Active NPI

Minh N Huynh, DO

  • Internal Medicine Physician
  • Sewell, NJ
National Provider Identifier
1669567343
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB72667 Issued in NJ
Practice address
1 Plaza Dr Ste 103
Bunker Hill Plaza
Sewell, NJ 08080-9207
Phone
(856) 270-4080
Fax
(856) 270-4085
NPI assigned
Oct 4, 2006
Last updated
Oct 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MB72667 NJ Primary

Addresses

Primary practice location

1 Plaza Dr Ste 103
Bunker Hill Plaza
Sewell, NJ 08080-9207

Mailing address

1 Plaza Dr Ste 103
Bunker Hill Plaza
Sewell, NJ 08080-9207
Phone (856) 270-4080

Other identifiers 4

IdentifierTypeStateIssuer
0056570MedicaidNJ
2423514000OtherNJAMERIHEALTH, KEYSTONE, IBC
3744954OtherAETNA
60014895OtherHORIZON NJ HEALTH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000242 NJ Practitioner - Internal Medicine 0345294237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB72667NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of New Jersey PA CurrentSince Dec 12, 2022 Accepting new patients
American Current Care of New Jersey, P.a. CurrentSince Dec 12, 2022 Accepting new patients
American Current Care of New Jersey PA Current Accepting new patients
Cooper Physician Offices, PA Internal Medicine PastSince Dec 21, 1994 Accepting new patients
Cooper Care Alliance, PC PastSince Dec 27, 2021 Accepting new patients
Cooper Primary Care at Pennsville, PA Internal Medicine Past Accepting new patients

Locations

595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646

817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1669567343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLAZA DR STE 103",
            "address_2": "BUNKER HILL PLAZA",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809207",
            "telephone_number": "856-270-4080",
            "fax_number": "856-270-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAZA DR STE 103",
            "address_2": "BUNKER HILL PLAZA",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809207",
            "telephone_number": "856-270-4080",
            "fax_number": "856-270-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "MINH",
        "middle_name": "N",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB72667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056570",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH, KEYSTONE, IBC",
            "identifier": "2423514000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3744954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60014895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.