Individual provider Active NPI

Iris Robin Mentle, MD, FACC

  • Cardiovascular Disease Physician
  • Freehold, NJ
National Provider Identifier
1922054022
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA06445500 Issued in NJ
Practice address
901 W Main St Ste 205
Freehold, NJ 07728-2537
Phone
(732) 866-0800
Fax
(732) 463-6082
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 25MA06445500 NJ
Cardiovascular Disease Physician 207RC0000X 25MA06445500 NJ Primary

Addresses

Primary practice location

901 W Main St Ste 205
Freehold, NJ 07728-2537

Mailing address

901 W Main St Ste 205
Freehold, NJ 07728-2537
Phone (732) 866-0800

Other practice location 1

555 Iron Bridge Rd
Suite 16
Freehold, NJ 07728-2975
Phone (732) 683-9955

Other identifiers 2

IdentifierTypeStateIssuer
047213OtherNJMEDICARE
7556403MedicaidNJ

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000603 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214928696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Stony Brook, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Wood Johnson Physician EnterpriseGroup PAC ID 5597917633, 71 clinicians

Practice addresses (Care Compare)

901 W Main St
Suite 205
Freehold, NJ 07728-2537
Phone (732) 866-0800

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06445500NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Diagnostic Heart Center of Central NJ PastSince Jan 1, 1990 Accepting new patients

Locations

45 County Road 520
Englishtown, NJ 07726

901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

Interoperability endpoints

  • Direct secure messaging: imentle15047@epicdirect.rwjbh.org
  • Direct secure messaging: imentle425312@direct.ahsys.org

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1922054022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 205",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-866-0800",
            "fax_number": "732-463-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 205",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-866-0800",
            "fax_number": "732-463-6082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Iron Bridge Rd",
            "address_2": "Suite 16",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077282975",
            "country_code": "US",
            "telephone_number": "732-683-9955",
            "fax_number": "732-683-1044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENTLE",
        "first_name": "IRIS",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA06445500",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA06445500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "047213",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7556403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.