MEDICARE: MINDERA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1538001052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDERA PC

Provider Business Mailing Address
First Line	:	14 LORI LN
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1681
Country	:	US
Telephone Number	:	732-790-4217
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 LORI LN
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1681
Country	:	US
Telephone Number	:	732-790-4217
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	URMI PARIKH
Credential	:
Telephone Number	:	732-322-3454

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	05/26/2026

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Directions to “MINDERA PC ” Practice Location

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