Individual provider Active NPI

Avelina Fernando Flores, MD

  • Internal Medicine Physician
  • Lanoka Harbor, NJ
National Provider Identifier
1104899582
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA033641 Issued in NJ
Practice address
411 Rte 9
Ste 6
Lanoka Harbor, NJ 08734
Phone
(609) 971-1711
Fax
(609) 971-3390
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA033641 NJ Primary

Addresses

Primary practice location

411 Rte 9
Ste 6
Lanoka Harbor, NJ 08734

Mailing address

411 RT9
Suite 6
Lanoka Harbor, NJ 08734
Phone (609) 971-1711

Other names 1

  • Avelina Fernando Flores Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050420001052 NJ Practitioner - Internal Medicine 6103864137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA033641NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care on Wheels LLC Internal Medicine Current Accepting new patients
Manish Saini MD LLC Internal Medicine CurrentSince Jun 3, 2024 Accepting new patients
Comprehensive Medical Assoc Internal Medicine Past Accepting new patients

Locations

411 Route 9
Ste 6
Lanoka Harbor, NJ 08734
Phone (609) 971-1711

1163 Route 37 W
Ste B1
Toms River, NJ 08755
Phone (732) 341-7900

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1104899582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 RT9",
            "address_2": "SUITE 6",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "08734",
            "telephone_number": "609-971-1711",
            "fax_number": "609-971-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 RTE 9",
            "address_2": "STE 6",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "08734",
            "telephone_number": "609-971-1711",
            "fax_number": "609-971-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "AVELINA",
        "middle_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA033641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVELINA",
            "last_name": "FLORES",
            "middle_name": "FERNANDO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lanoka Harbor, NJ

Sources for this page

Verify at the official NPI Registry.