Mina Sedhom

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

82 Fomalhaut Ave
Sewell, NJ 08080-2049

Phone

(267) 206-0622

NPI assigned

Mar 30, 2022

Last updated

Apr 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1902546880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 FOMALHAUT AVE",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802049",
            "telephone_number": "267-206-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 FOMALHAUT AVE",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802049",
            "telephone_number": "267-206-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDHOM",
        "first_name": "MINA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-04-02",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome D. Schwartz, DMD
• Courtney Scott
• George J Scott, D.O.
• Linda A. Scott, MPT
• Jenna Scuilli, PT, DPT
• Elana Tova Segal, M.D.
• James Sekel, D.O.
• Indrani Sen Hightower, M.D.
• Senior Care Centers of America, Inc . (Active Day of Washington Township)
• Serenity Home Healthcare and Nursing Solutions LLC

• Non-emergency Medical Transport (VAN) in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Non-emergency Medical Transport (VAN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.