Active NPI
Michelle T Mento
- Certified Registered Nurse Anesthetist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ01181200
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (856) 342-2000
- NPI assigned
- Jun 14, 2021
- Last updated
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ01181200 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
5 Shelly St
Sicklerville, NJ 08081-4936
Phone (856) 265-6565
Other practice location 1
90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 988-6260
Other practice location 2
100 Bowman Dr Fl 1
Voorhees, NJ 08043-9612
Phone (856) 988-6260
Other practice location 3
200 Bowman Dr Ste D160
Voorhees, NJ 08043-9633
Phone (856) 988-6260
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmento266014@directvirtua.org | ||
| Direct Messaging Address | mmento266014@directvirtua.org | ||
| Direct Messaging Address | mmento266014@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260
3140 Princeton Pike
FL 2
Lawrenceville, NJ 08648-2330
Phone (609) 895-1919
3242 Route 206
Bordentown, NJ 08505-4517
435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (833) 958-2198
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.96 of 100
- Quality
- 73.04
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01181200 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Associates in Healthcare of New Jersey, P.C. | Current | Accepting new patients | |
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Methodist Associates in Healthcare of New Jersey, P.C. | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500
3140 Princeton Pike
Fl 2
Lawrenceville, NJ 08648
Phone (609) 895-1919
90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040
1 Union St
Ste 101
Trenton, NJ 08691
Phone (609) 632-0140
100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645
200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-7800
Interoperability endpoints
- mmento266014@directvirtua.org
- mmento34655@direct.cooperhealth.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jefferson Community Physicians of New Jersey
- Cardiovascular Disease Physician
- Robbinsville, NJ
- NPI 1649636754
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
-
dba Jefferson Community Physicians - Neurosurgery
- Neurological Surgery Physician
- Sewell, NJ
- NPI 1568078095
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1861060121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SHELLY ST",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814936",
"telephone_number": "856-265-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2000"
}
],
"practiceLocations": [
{
"address_1": "90 Brick Rd",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080532177",
"country_code": "US",
"telephone_number": "856-988-6260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Bowman Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439612",
"country_code": "US",
"telephone_number": "856-988-6260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Bowman Dr Ste D160",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439633",
"country_code": "US",
"telephone_number": "856-988-6260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENTO",
"first_name": "MICHELLE",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ01181200",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmento266014@directvirtua.org",
"affiliation": "N",
"address_1": "100 Bowman Dr Fl 1",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439612",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmento266014@directvirtua.org",
"affiliation": "N",
"address_1": "90 Brick Rd",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080532177",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmento266014@directvirtua.org",
"affiliation": "N",
"address_1": "200 Bowman Dr Ste D160",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439633",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.