Individual provider Active NPI

Faustino Falgui Estella, M.D.

  • Surgery Physician
  • Toms River, NJ
National Provider Identifier
1023119757
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA03581700 Issued in NJ
Practice address
111 W Water St
Toms River, NJ 08753-6407
Phone
(732) 244-4700
Fax
(732) 244-8482
NPI assigned
Sep 26, 2006
Last updated
Jun 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA03581700 NJ Primary

Addresses

Primary practice location

111 W Water St
Toms River, NJ 08753-6407

Mailing address

PO Box 5191
Toms River, NJ 08754-5191
Phone (732) 244-4700

Other identifiers 10

IdentifierTypeStateIssuer
0106063000OtherPERSONAL CHOICE BCBS
020003621OtherRAILROAD MEDICARE
0106063001OtherAMERIHEALTH
403663OtherUHC
F11880OtherHEALTHNET
1035428OtherHORIZON NJ HEALTH
3272401MedicaidNJ
P3165303OtherOXFORD
457530OtherKEYSTONE
90000661400OtherAMERICHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925001260 NC Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 4082679857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians

Practice addresses (Care Compare)

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Ambulatory Services, Inc. Current Accepting new patients
Onslow Ambulatory Services, Inc. CurrentSince Jul 10, 2017 Accepting new patients
Onslow Ambulatory Services, Inc. Surgery CurrentSince Jul 10, 2017 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Oct 1, 2020 Accepting new patients
Penobscot Valley Hospital Past Accepting new patients

Locations

241 New River Dr
Jacksonville, NC 28540
Phone (910) 577-2593

255 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-7848

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1023119757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5191",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087545191",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536407",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTELLA",
        "first_name": "FAUSTINO",
        "middle_name": "FALGUI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA03581700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE BCBS",
            "identifier": "0106063000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020003621",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0106063001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "403663",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F11880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1035428",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3272401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3165303",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "457530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "90000661400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.