Randa Fahim Mina LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RANDA FAHIM MINA LLC

Practice address

2087 Klockner Rd
Hamilton, NJ 08690-3416

Phone

(609) 587-2300

Fax

(609) 587-8660

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Randa F MinaNPI 1174585855

Title

Physician

Phone

60958742300

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randa Mina, MD

  • Internal Medicine Physician
  • Belle Mead, NJ
  • NPI 1174585855
  Medicare reassignment Authorized official
• Maimoona Manzar

  • Registered Dietitian
  • Hamilton, NJ
  • NPI 1427375815
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1962541284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-587-2300",
            "fax_number": "609-587-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903416",
            "telephone_number": "609-587-2300",
            "fax_number": "609-587-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDA FAHIM MINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "RANDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "60958742300"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "2517463",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "40113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60019748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029726",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2517463",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K2605",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Affiliates of Central New Jersey PC
• Raquel Rahim, APRN
• Ali Seyar Rahyab, M.D.
• Raj N Lalla MD PC
• Emily Michelle Ramiro, AGNP
• Carole Range, PHD
• Alexa Rapach, LCSW
• Kimberly Raspa, CRNA
• Mary Shawki Rassla, D.AC, L.AC
• Lawrence M. Ratner, M.D.

• Internal Medicine Physician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.