MINI MINE LLC
NPI 1003557224
Clinic/Center in Lakewood, NJ

Active since April 03, 2022
128 MELVILLE AVE, LAKEWOOD, NJ 08701(732) 886-8113 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mini Mine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINI MINE LLC (NPI 1003557224) is a healthcare organization registered as a clinic/center in Lakewood, New Jersey and active in the NPI registry since April 2022. The organization lists Malka Nussbaum, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1003557224
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMINI MINE LLC
Location Address128 MELVILLE AVELakewood, NJ 08701-4235
Mailing Address128 Melville AveLakewood, NJ 08701-4235 · (732) 886-8113
Organization SubpartNo
Authorized OfficialMalka NussbaumClinical Director · (732) 886-8113
Enumeration DateApril 3, 2022
Last NPPES UpdateJune 17, 2024
NPPES CertifiedJune 17, 2024
NPI 1003557224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
128 MELVILLE AVE, Lakewood, NJ 08701

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
128 MELVILLE AVE
LAKEWOOD, NJ 08701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mini Mine LLC's NPI number?

The NPI number for Mini Mine LLC is 1003557224. It was assigned to this organization in the NPPES registry on April 3, 2022.

Where is Mini Mine LLC located?

Mini Mine LLC is located at 128 Melville Ave, Lakewood, NJ 08701. The listed phone number is (732) 886-8113.

What is Mini Mine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Mini Mine LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mini Mine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mini Mine LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.