William James Polvino, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05697700 Issued in NJ

Practice address

10 Churchhill Downs Dr
Tinton Falls, NJ 07724-3804

Phone

(732) 389-1590

NPI assigned

Feb 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1063719706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHURCHHILL DOWNS DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243804",
            "telephone_number": "732-389-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHURCHHILL DOWNS DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243804",
            "telephone_number": "732-389-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLVINO",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05697700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Peters, MD
• Frank J Picone, MD
• Brittany Pinter, LCSW
• Ryan James Plyler, MD
• Benedict T PO
• Prad Health Enterprises LLC (Assisting Hands of Monmouth County)
• Premier Care LLC Dba Elder Life Home Care LLC
• Primary Holistic Care LLC
• Professional Orthopaedic Assoc PA
• Professional Orthopedics Assoc

• Internal Medicine Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.