Provider Demographics
NPI:1124250154
Name:NBP MEDICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:NBP MEDICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULVIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-407-9834
Mailing Address - Street 1:301 HIDDEN OAK RD
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-6727
Mailing Address - Country:US
Mailing Address - Phone:732-407-9834
Mailing Address - Fax:
Practice Address - Street 1:201 WEST AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-4131
Practice Address - Country:US
Practice Address - Phone:732-407-9834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-09
Last Update Date:2009-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB073222261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain