Kristopher Mincieli, DO
Emergency Medicine in Brick, New Jersey
1780261024- Practice location
- 425 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone
- 732-840-2200
- Fax
- —
- Last updated
- October 22, 2024
Kristopher Mincieli is an Emergency Medicine based in Brick, NJ. Kristopher Mincieli practices in Brick, NJ and has the professional credentials of DO. The NPI Number for Kristopher Mincieli is 1780261024 and holds a License No. 25MB12153500 (NJ). The current practice location address for Kristopher Mincieli is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-840-2200.
Provider Profile Details
- NPI Number
- 1780261024
- Provider Name
- Kristopher Mincieli
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 425 Jack Martin Blvd, Brick, NJ 08724-7732
- Phone Number
- 732-840-2200
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 24, 2021
- Last Update Date
- October 22, 2024
- Certification Date
- October 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 425 Jack Martin Blvd
Brick, NJ 08724-7732 - City
- Brick
- State
- New Jersey
- Zip
- 08724-7732
- Phone Number
- 732-840-2200
Provider Business Mailing Address Details
- Address
- 608 Shadow Way
Brick, NJ 08724-4736 - City
- Brick
- State
- NJ
- Zip
- 08724-4736
- Phone Number
- 732-245-3190
License Information
- License Number
- 25MB12153500
- License State
- NJ
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Brick, NJ
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Frequently Asked Questions
What is the NPI number of Kristopher Mincieli, DO?
The NPI number of Kristopher Mincieli, DO is 1780261024. It was assigned on March 24, 2021 and is currently active in the NPPES registry.
What is the specialty of Kristopher Mincieli, DO?
Kristopher Mincieli, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in NJ under license number 25MB12153500.
Where does Kristopher Mincieli, DO practice?
The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-840-2200 (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 1780261024 directly on the NPPES registry website.