Individual
MICHAEL JOSEPH MEHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
197 RIDGEDALE AVE STE 225, CEDAR KNOLLS, NJ 07927-2111
(862) 260-4265
(973) 695-1645
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA07829400
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD433452
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2863679000
IBC
NJ
01
—
5860856
CIGNA
—
Enumeration date
10/18/2006
Last updated
01/17/2025
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