Individual provider Active NPI

Mindy Noel Subbiah, CRNP

  • Family Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1760179659
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14869700 Issued in NJ
Practice address
733 Route 70 E Ste 201
Marlton, NJ 08053-2335
Phone
(215) 746-2765
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027227 PA
Family Nurse Practitioner 363LF0000X 26NJ14869700 NJ Primary

Addresses

Primary practice location

733 Route 70 E Ste 201
Marlton, NJ 08053-2335

Mailing address

733 Route 70 E Ste 201
Marlton, NJ 08053-2335
Phone (609) 451-2020

Other names 1

  • Mindy Noel Bickel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230511001582 PA Practitioner - Nurse Practitioner 2769848076 Reassigns benefits to 1 organization
I20240430002567 NJ Practitioner - Nurse Practitioner 2769848076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas J Marzili MD LLCGroup PAC ID 6103061403, 5 clinicians

Practice addresses (Care Compare)

733 Route 70 E
BLDG 2 Suite 201
Marlton, NJ 08053-2335
Phone (609) 451-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14869700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Marzili MD LLC CurrentSince Apr 29, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince May 19, 2023 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince May 19, 2023 Accepting new patients

Locations

733 Route 70 E
Ste 201
Marlton, NJ 08053
Phone (609) 451-2020

733 Route 70 E
Bldg 2
Marlton, NJ 08053

128 Route 70
Ste 13
Medford, NJ 08055
Phone (609) 451-2020

3535 Market St
Fl 5
Philadelphia, PA 19104
Phone (215) 746-5900

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1760179659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 ROUTE 70 E STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532335",
            "telephone_number": "609-451-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 ROUTE 70 E STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532335",
            "telephone_number": "215-746-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBIAH",
        "first_name": "MINDY",
        "middle_name": "NOEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14869700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "BICKEL",
            "middle_name": "NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.