Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mini Mine LLC

Organization Clinic/Center · NPI 1003557224

Mini Mine LLC is a Clinic/Center in Lakewood, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

128 Melville Ave
Lakewood, NJ 08701-4235
Phone: (732) 886-8113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1003557224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malka Nussbaum — Clinical Director · (732) 886-8113
NPI enumeratedApril 3, 2022
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address128 Melville Ave, Lakewood, NJ 08701-4235

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