Organization Active NPI

The Minniti Center for Medical Oncology and Hematology

  • Hematology & Oncology Physician
  • Mickleton, NJ
National Provider Identifier
1831234954
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MA51205 Issued in NJ
Legal business name
THE MINNITI CENTER FOR MEDICAL ONCOLOGY AND HEMATOLOGY
Practice address
174 Democrat Rd
Mickleton, NJ 08056-1236
Phone
(856) 423-0754
Fax
(856) 423-7508
NPI assigned
Feb 20, 2007
Last updated
May 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Carl J Minniti Jr., MDNPI 1811993652
Title
Owner
Phone
(856) 423-0754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA51205 NJ Primary

Addresses

Primary practice location

174 Democrat Rd
Mickleton, NJ 08056-1236

Mailing address

174 Democrat Rd
Mickleton, NJ 08056-1236
Phone (856) 423-0754

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lburke@minniti.oncoemrdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070501000438 NJ Part B Supplier - Clinic/Group Practice 4385740778 Receives reassigned benefits from 2 practitioners
Practice locations: Mickleton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0117604Minniti Center for174 Democrat Road, Mickleton, NJ 08056ComplianceJan 15, 2027

National Provider Directory

National Provider Directory

Locations

174 Democrat Rd
Mickleton, NJ 08056
Phone (856) 423-0754

Interoperability endpoints

  • Direct secure messaging: lburke@minniti.oncoemrdirect.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1831234954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 DEMOCRAT RD",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080561236",
            "telephone_number": "856-423-0754",
            "fax_number": "856-423-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 DEMOCRAT RD",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080561236",
            "telephone_number": "856-423-0754",
            "fax_number": "856-423-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MINNITI CENTER FOR MEDICAL ONCOLOGY AND HEMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "MINNITI",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-423-0754",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA51205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lburke@minniti.oncoemrdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Domaine",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "174 Democrat Rd",
            "city": "Mickleton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080561236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mickleton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.