Active NPI
Regional Medical Associates
- Family Medicine Physician
- Millville, NJ
National Provider Identifier
1952412140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA 20552
- Legal business name
- REGIONAL MEDICAL ASSOCIATES
- Practice address
- 10 E Broad St
Millville, NJ 08332-2926 - Phone
- (856) 825-7372
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles H Mintz, M.D.
- Title
- President
- Phone
- (856) 825-7372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA 20552 | NJ | Primary |
Addresses
Primary practice location
10 E Broad St
Millville, NJ 08332-2926
Mailing address
10 E Broad St
Millville, NJ 08332-2926
Phone (856) 825-7372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5039606 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
10 E Broad St
Millville, NJ 08332
Phone (609) 825-7372
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Millville, NJ
- NPI 1346347986
-
- Internal Medicine Physician
- Lecanto, FL
- NPI 1437183019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952412140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E BROAD ST",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322926",
"telephone_number": "856-825-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E BROAD ST",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322926",
"telephone_number": "856-825-7372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MINTZ",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "856-825-7372",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA 20552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5039606",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.