Provider Demographics
NPI:1215149398
Name:NORTH EAST MEDICAL CENTER PC
Entity type:Organization
Organization Name:NORTH EAST MEDICAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIKS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHTINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:732-238-3800
Mailing Address - Street 1:51 WEST PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-238-3800
Mailing Address - Fax:732-238-2883
Practice Address - Street 1:51 WEST PROSPECT ST
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-238-3800
Practice Address - Fax:732-238-2883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25 MB07663700207R00000X
NJ25MA07937500207RG0300X
NJMA039611207V00000X
NJ25 MA07653000208100000X
NJ213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Not Answered213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA62897Medicare UPIN
NJH90711Medicare UPIN
NJI54263Medicare UPIN
NJI43072Medicare UPIN
NJU97112Medicare UPIN