Active NPI
Pedro R Paulino
- Urology Physician
- Paterson, NJ
National Provider Identifier
1043863848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 32918552
- Practice address
- 78 Highland St
Paterson, NJ 07524-1906 - Phone
- (973) 234-0186
- NPI assigned
- Jul 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 32918552 | NJ | Primary |
Addresses
Primary practice location
78 Highland St
Paterson, NJ 07524-1906
Mailing address
78 Highland St
Paterson, NJ 07524-1906
Phone (973) 234-0186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32918552 | NJ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563580800000",
"number": "1043863848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 HIGHLAND ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075241906",
"telephone_number": "973-234-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 HIGHLAND ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075241906",
"telephone_number": "973-234-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULINO",
"first_name": "PEDRO",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-20",
"last_updated": "2019-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "32918552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.