Individual provider Active NPI

Aristides M Estrada, MD

  • Internal Medicine Physician
  • Mine Hill, NJ
National Provider Identifier
1114970068
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31914 Issued in NJ
Practice address
195 Route #46
Ste #102
Mine Hill, NJ 07803-3164
Phone
(973) 366-6060
Fax
(973) 366-1423
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 31914 NJ Primary

Addresses

Primary practice location

195 Route #46
Ste #102
Mine Hill, NJ 07803-3164

Mailing address

195 Route #46
Ste #102
Mine Hill, NJ 07803-3164
Phone (973) 366-6060

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
I20101230000360 NJ Practitioner - Internal Medicine 5890761712 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31914NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Pathology Associates PLLC Current Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Jan 1, 2022 Accepting new patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Jan 1, 1989 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

Organizations & group practices 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1114970068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ROUTE #46",
            "address_2": "STE #102",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033164",
            "telephone_number": "973-366-6060",
            "fax_number": "973-366-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 ROUTE #46",
            "address_2": "STE #102",
            "city": "MINE HILL",
            "state": "NJ",
            "postal_code": "078033164",
            "telephone_number": "973-366-6060",
            "fax_number": "973-366-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "ARISTIDES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "31914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mine Hill, NJ

Sources for this page

Verify at the official NPI Registry.