Active NPI
Meshraki Mina, LCSW
- Clinical Social Worker
- Milltown, NJ
National Provider Identifier
1821153966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00197600
- Practice address
- 134 N Main St
Milltown, NJ 08850-1524 - Phone
- (732) 227-1595
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00197600 | NJ | Primary |
Addresses
Primary practice location
134 N Main St
Milltown, NJ 08850-1524
Mailing address
406 New Brunswick Ave
East Brunswick, NJ 08816-5401
Phone (732) 390-8318
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050505000364 | NJ | Practitioner - Clinical Social Worker | 8820038268 | Practice locations: Milltown, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
134 N Main St
Milltown, NJ 08850-1524
Phone (732) 227-1595
1626 US Hwy 130
North Brunswick, NJ 08902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00197600 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821153966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 NEW BRUNSWICK AVE",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165401",
"telephone_number": "732-390-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 N MAIN ST",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "088501524",
"telephone_number": "732-227-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINA",
"first_name": "MESHRAKI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00197600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milltown, NJ
- Milltown Board of Education
- Milltown Family Vision (Milltown Vision)
- Milltown Rescue Squad Inc
- Milltown Vision Care
- Milltown Vision Care
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #16514)
- New Outlook Therapeutic Services LLC
- Nosh Pharm-LLC (NOSH PHARM Pharmacy and Holistic Care)
- Therese Obrien Henderson
- Oti Management Consulting, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.