Provider Demographics
NPI:1891911848
Name:ESPINELI MEDICAL ASSOCIATES PC
Entity type:Organization
Organization Name:ESPINELI MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROSALINDA
Authorized Official - Middle Name:ORTIZ
Authorized Official - Last Name:ESPINELI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-341-9494
Mailing Address - Street 1:1163 ROUTE 37 W
Mailing Address - Street 2:SUITE D4
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-4973
Mailing Address - Country:US
Mailing Address - Phone:732-341-9494
Mailing Address - Fax:732-341-3416
Practice Address - Street 1:1163 ROUTE 37 W
Practice Address - Street 2:SUITE D4
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4973
Practice Address - Country:US
Practice Address - Phone:732-341-9494
Practice Address - Fax:732-341-3416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3745805Medicaid
C52999Medicare UPIN
078459Medicare ID - Type Unspecified