Nina L. Tubilleja, MD, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06960000 Issued in NJ

Legal business name

NINA L. TUBILLEJA, MD, P.C.

Practice address

403 Penn Ave.
Forked River, NJ 08731-1051

Phone

(609) 971-9392

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nina Lapidario Tubilleja, MDNPI 1144291196

Title

President

Phone

(609) 971-9392

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nina Lapidario Tubilleja, MD

  • Internal Medicine Physician
  • Forked River, NJ
  • NPI 1144291196
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1205023660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PENN AVE.",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "609-971-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PENN AVE.",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311051",
            "telephone_number": "609-971-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA L. TUBILLEJA, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "TUBILLEJA",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "LAPIDARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-971-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06960000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8001901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Nazario
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• Dawn Nichols
• Michael M Nitkowski I, LCSW,LCADC
• NJ Pain Stop LLC
• Kenneth Noone, LCSW,
• Jeremy Norman
• Northern Compass Counseling, LLC

• Internal Medicine Physician in Forked River, NJ
• Providers in Forked River, 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 Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.