John Minetti, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA04464900 Issued in NJ

Practice address

970 Hooper Ave # 2
Toms River, NJ 08753-8319

Phone

(732) 228-4146

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Morristown, NJ
  • NPI 1477591360
  NPD (past)
• Emergency Medical Associates of New Jersey PA

  • Emergency Medicine Physician
  • Long Branch, NJ
  • NPI 1841456068
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1720026065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 HOOPER AVE # 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538319",
            "telephone_number": "732-228-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINETTI",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA04464900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Andrew Milone, D.M.D.
• Kelli E Milza
• Mind Matters Counseling, LLC
• Mindful Healing Psychiatry Inc
• Mindful Solutions NJ, LLC
• Crystal Mingo
• Mira Vie at Toms River Opco LLC
• William Miranda, LPC
• Jai Mirchandani, MD
• Misharllc

• Emergency Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.