DR. MINA FAM


Address: 446 Jack Martin Blvd, Brick, NJ 08724
Phone: 7328404300

DR. MINA FAM (NPI# 1659661338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659661338
Entity Type Individual
Full Name DR. MINA FAM
Credential MD
Practice Address 446 Jack Martin Blvd
Brick
NJ 08724
Mailing Address 446 Jack Martin Blvd
Brick
NJ 08724-7733
Practice Telephone 7328404300
Mailing Telephone 7328404300
Enumeration Date 2011-04-14
Last Update Date 2018-08-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 25MA10319400 NJ Allopathic & Osteopathic Physicians
N 208800000X Urology MD458335 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 446 JACK MARTIN BLVD
City BRICK
State NJ
Zip Code 08724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215910286 Coastal Urology Associates Pa Urology 446 Jack Martin Blvd, Brick, NJ 08724-7733 2005-11-23
1326302969 Amanda Knerr Physician Assistant 446 Jack Martin Blvd, Brick, NJ 08724-7733 2012-06-28
1417154204 Mildred Sabo, Md, LLC Internal Medicine 446 Jack Martin Blvd, Brick, NJ 08724-7733 2007-06-27
1518941848 Tammy Yanci Nurse Practitioner 446 Jack Martin Blvd, Brick, NJ 08724-7733 2005-11-30
1811971377 John Robert Chapman Urology 446 Jack Martin Blvd, Brick, NJ 08724 2005-11-30
1447233416 Gary Charles Linn Urology 446 Jack Martin Blvd, Brick, NJ 08724-7733 2005-11-23
1134102015 Daniel Todd Burzon Urology 446 Jack Martin Blvd, Brick, NJ 08724-7733 2005-11-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386498 Mark Malak Pharmacist 668 New Jersey Ave # 70, Brick, NJ 08724 2020-11-08
1699381681 Kimberly Granai Nurse Practitioner 1617 Nj-88, Brick Township, NJ 08724 2020-09-16
1407461346 Marina N Samuel Pharmacist 1890 Rt 88, Brick, NJ 08724 2020-09-08
1255974440 Diana Rachel Williamson Pharmacy Technician 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 2019-10-21
1710536842 Stephanie Ann Papa Nurse Practitioner 2125 Nj 88, Brick, NJ 08724 2019-09-11
1417504515 Susan B Anthony Physical Therapist 676 Overlook Ct, Brick, NJ 08724 2019-08-22
1831688076 Jennifer S Cashin Social Worker 1500 Nj-88, Brick, NJ 08724 2018-05-03
1528555315 James Kish Pt Physical Therapist 602 Yellowbrick Rd, Brick, NJ 08724 2018-04-17
1396262200 Michael Stephen Zito-govert Nurse Practitioner 1640 Route 88 West, Suite 203, Brick, NJ 08724 2017-08-23
1083140420 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1200 Route 70 East, Brick, NJ 08724 2017-05-04
Find all providers in zip 08724

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144834532 Advanced Urology Associates Enterprises Urology 525 Jack Martin Blvd Ste 304, Brick, NJ 08724-7737 2020-09-02
1588635916 James E Rotolo Urology 1696 Route 88, Brick, NJ 08724-3030 2006-02-01
1245213123 Charles Edward Bellingham Urology 224 Jack Martin Blvd, Suite E4, Brick, NJ 08724-7772 2005-11-23
1215910286 Coastal Urology Associates Pa Urology 446 Jack Martin Blvd, Brick, NJ 08724-7733 2005-11-23
1376917435 James E. Rotolo, M.d., F.a.c.s., P.a. Urology 1696 Route 88, 1st Floor, Brick, NJ 08724-3030 2015-11-30
1073619318 Andrew L. Simon M.d., F.a.c.s, P.a. Urology 459 Jack Martin Blvd, Suite 3, Brick, NJ 08724-7724 2006-09-15
1992767388 Andrew L. Simon Urology 459 Jack Martin Blvd, Suite 3, Brick, NJ 08724-7724 2006-04-03
1811971377 John Robert Chapman Urology 446 Jack Martin Blvd, Brick, NJ 08724 2005-11-30
1447233416 Gary Charles Linn Urology 446 Jack Martin Blvd, Brick, NJ 08724-7733 2005-11-23
1134102015 Daniel Todd Burzon Urology 446 Jack Martin Blvd, Brick, NJ 08724-7733 2005-11-23
Find all providers in BRICK

Competitor

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City BRICK
Zip Code 08724

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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