DR. EDWARD MINTZ (NPI# 1083660211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083660211 |
| Entity Type | Individual |
| Full Name | DR. EDWARD MINTZ |
| Credential | M.D. |
| Practice Address |
259 1st St Mineola NY 11501-3957 |
| Mailing Address |
700 Hicksville Rd Suite 204 Bethpage NY 11714-3471 |
| Practice Telephone | 5166632727 |
| Practice Fax Number | 5166638549 |
| Mailing Telephone | 5165765812 |
| Mailing Fax Number | 5165765801 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 187854-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01614328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629030283 | Edward Gustavo Mintz | Ophthalmology | 100 Palmetto Park Blvd, Lexington, SC 29072 | 2006-04-06 |
| 1669444311 | Edward Lester Mintz | Podiatrist | 81 Grand Ave, #1e, Englewood, NJ 07631-3530 | 2006-02-06 |
| 1013116334 | Edward Paul Mintz | Internal Medicine | 8330 Naab Rd Ste 340, Indianapolis, IN 46260-2279 | 2007-07-17 |
| Street Address |
259 1ST ST |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892641 | Frederick James | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2005-06-27 |
| 1164039855 | James Jacob | Nurse Anesthetist, Certified Registered | 259 1st St, Mineola, NY 11501-3957 | 2020-09-26 |
| 1649887530 | Michael D'alto | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2020-09-25 |
| 1174136121 | Anatoliy Mirkin | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-28 |
| 1497368823 | Sajumon K Joseph | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-08-25 |
| 1730707134 | Nathan Augustus Starkman | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-07-12 |
| 1164040143 | Melissa Dale Kersch | Nurse Practitioner | 259 1st St, Mineola, NY 11501-3957 | 2020-07-07 |
| 1518582964 | Jennifer Behbodikhah | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-11 |
| 1912521386 | Samuel Baskharoun | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-06-02 |
| 1346863404 | James Anthony Priftakis | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2020-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081561 | Julius Paul Duic | Emergency Medicine | 120 Mineola Blvd Ste 500, Mineola, NY 11501-4074 | 2007-05-14 |
| 1184782484 | Kenneth Steinberg | Emergency Medicine | 292 Herricks Rd, Mineola, NY 11501-1119 | 2006-12-05 |
| 1487195673 | Ian Mcgillivray | Emergency Medicine | 23 Richlee Ct, 3s, Mineola, NY 11501-3647 | 2017-03-20 |
| 1477913069 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2016-02-25 |
| 1750777892 | Evan Feinberg | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2015-04-14 |
| 1134460249 | Winthrop First Care Medical Services PC | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2013-03-14 |
| 1972850675 | Daniel Mcweeney | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2012-08-13 |
| 1467717348 | Mary Jo Johnstone | Emergency Medicine | 259 1st St, Emergency Department, Mineola, NY 11501-3957 | 2012-07-07 |
| 1487914354 | Gabriel Melchiades Struck | Emergency Medicine | 259 1st St, Winthrop University Hospital, Mineola, NY 11501-3957 | 2012-05-24 |
| 1407114424 | Christine Michele Desanno | Emergency Medicine | 259 1st St, Mineola, NY 11501-3957 | 2012-04-27 |
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| 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.