DR. GERALD D MINGIN JR. (NPI# 1508348863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508348863 |
| Entity Type | Individual |
| Full Name | DR. GERALD D MINGIN JR. |
| Credential | PH.D. & PSY.D. |
| Practice Address |
135 Eayrestown Rd. Suite A Southampton NJ 08055 |
| Practice Telephone | 6092611022 |
| Mailing Telephone | 6092611022 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
NJ | Behavioral Health & Social Service Providers | |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
NJ | Behavioral Health & Social Service Providers | |
| Y | 1041S0200X |
Social Worker Specialization: School |
TR18313700243054 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447344775 | Gerald Mingin | Urology | 111 Colchester Ave, Mail Stop 320 Fl, Burlington, VT 05401-1473 | 2006-10-03 |
| Street Address |
135 EAYRESTOWN RD. SUITE A |
| City | SOUTHAMPTON |
| State | NJ |
| Zip Code | 08055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1740716133 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1509 Cedar Dr, Medford, NJ 08055 | 2017-05-04 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831673383 | Beth Gordon | Social Worker | 34 Pomeroy Meadow Rd, Southampton, MA 01073-9664 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356257 | Hollis Allen Evans | Social Worker | 13 Chestnut Dr, Eastampton, NJ 08060-4316 | 2020-11-06 |
| 1710533575 | Thomas George Newman | Social Worker | 1253 Clinton Ave, Irvington, NJ 07111-2437 | 2019-08-16 |
| 1184283921 | Open Arms Therapeutic Services LLC | Social Worker | 445 Brick Blvd Ste 204, Brick, NJ 08723-6079 | 2019-06-06 |
| 1912404716 | Juli Hencoski | Social Worker | 24 Ellis Ct, Morganville, NJ 07751-2652 | 2018-04-09 |
| 1285141911 | Jersey City Community Charter School | Social Worker | 128 Danforth Ave, Jersey City, NJ 07305-2626 | 2018-01-03 |
| 1770958795 | Uriel Feldman | Social Worker | 2783 Brunswick Pike, Lawrenceville, NJ 08648-4132 | 2015-12-02 |
| 1891190419 | Courtney Elaine1989 Bach | Social Worker | 2323 Bartram Ave, Atco, NJ 08004-1702 | 2014-10-24 |
| 1265832430 | Noelle Saunders | Social Worker | 415 Richmond Ave, South Orange, NJ 07079-2135 | 2014-08-25 |
| 1861732760 | Michael Kennedy | Social Worker | 865 Memorial Pkwy, Phillipsburg, NJ 08865-2730 | 2013-03-01 |
| 1730470956 | Barbara Cid | Social Worker | 23 Matthew Ave, Carteret, NJ 07008-2843 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 08055 |
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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.