Active NPIIndividual provider

Dr. Mina Fam, MD

Urology in Brick, New Jersey

NPI Number1659661338
Practice location
446 Jack Martin Blvd, Brick, NJ 08724
Fax
—
Last updated
August 30, 2018

Mina Fam is an Urology based in Brick, NJ. Mina Fam practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Mina Fam is 1659661338 and holds a License No. MD458335 (PA). The current practice location address for Mina Fam is 446 Jack Martin Blvd, Brick, NJ 08724 and can be reached out via phone at 732-840-4300.

Provider Profile Details

NPI Number
1659661338
Provider Name
Mina Fam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
446 Jack Martin Blvd, Brick, NJ 08724
Phone Number
732-840-4300
Primary Taxonomy
Urology · 208800000X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2011
Last Update Date
August 30, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
446 Jack Martin Blvd
Brick, NJ 08724
City
Brick
Zip
08724
Phone Number
732-840-4300
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
446 Jack Martin Blvd
Brick, NJ 08724-7733
City
Brick
State
NJ
Zip
08724-7733
Phone Number
732-840-4300

License Information

License Number (1)
MD458335
License State (1)
PA
Taxonomy (1)
Urology · 208800000X
License Number (2)
25MA10319400
License State (2)
NJ
Taxonomy (2)
Urology · 208800000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mina Fam, MD?

The NPI number of Dr. Mina Fam, MD is 1659661338. It was assigned on April 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Mina Fam, MD?

Dr. Mina Fam, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in PA under license number MD458335.

Where does Dr. Mina Fam, MD practice?

The practice location is 446 Jack Martin Blvd, Brick, NJ 08724. The office can be reached at 732-840-4300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659661338 directly on the NPPES registry website.

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