Provider Demographics
NPI:1992911325
Name:PINTO, LINDA (CALA)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:PINTO
Suffix:
Gender:M
Credentials:CALA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1774
Mailing Address - Country:US
Mailing Address - Phone:973-729-4311
Mailing Address - Fax:
Practice Address - Street 1:8 KNOLL RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1774
Practice Address - Country:US
Practice Address - Phone:973-729-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ85A100310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7597801Medicaid