MINI ROY
NPI 1235520925
Nurse Practitioner - Adult Health in Newark, NJ

Q: What is Mini Roy's NPI number?

The NPI number for Mini Roy is 1235520925. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Q: What is Mini Roy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mini Roy was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 17, 2015PECOS Enrolled

201 LYONS AVE, NEWARK, NJ 07112(973) 926-7754 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mini Roy NPPES

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

MINI ROY (NPI 1235520925) is an individual adult health provider in Newark, New Jersey, licensed in New Jersey (26NJ00553600) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235520925

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMINI ROY

Location Address201 LYONS AVENewark, NJ 07112-2027

Mailing Address22 Brookside PlLivingston, NJ 07039-4034 · (908) 810-1835

Phone(973) 926-7754

Sole ProprietorNo

Enumeration DateFebruary 17, 2015

✔ NPI 1235520925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ00553600

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00553600 (NJ)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ00553600 (NJ)

201 LYONS AVE, Newark, NJ 07112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mini Roy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KEITH MICHAEL SPELLMAN M.D.

Radiology (Diagnostic Radiology)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7960

DR. LARISSA SOPHIA DUDLEY M.D.

Emergency Medicine

201 LYONS AVE, SUITE D11
NEWARK, NJ 07112

Essex County (973) 926-6671

WAQAS BARI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (800) 843-2384

ERIKA YESENIA PINEDA MD

Pediatrics (Pediatric Critical Care Medicine)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

CASEY YEONJOO CHO APN

Nurse Practitioner (Acute Care)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-6938

KARLINA NGUYEN PA-C

Physician Assistant

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

GARY LAYTON DDS

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7642

DR. ALEXIS LORDI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 900-4855

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 Roy's NPI number?

The NPI number for Mini Roy is 1235520925. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Where is Mini Roy located?

Mini Roy practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7754.

What is Mini Roy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mini Roy enrolled in Medicare?

Yes. Mini Roy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mini Roy was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.