Individual provider Active NPI

Junior Espinal

  • Nurse Practitioner
  • Springfield, NJ
National Provider Identifier
1356929863
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F12200463 Issued in NJ
Practice address
55 Morris Ave
Springfield, NJ 07081-1426
Phone
(973) 759-1221
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F12200463 NJ Primary

Addresses

Primary practice location

55 Morris Ave
Springfield, NJ 07081-1426

Mailing address

195 Cortlandt St
Belleville, NJ 07109-3128
Phone (973) 759-1221

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512000640 NJ Practitioner - Nurse Practitioner 9032528633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keystone Cardiovascular Center LLCGroup PAC ID 7416275839, 5 clinicians
Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

255 W Spring Valley Ave
Second Floor Suite 200
Maywood, NJ 07607-1445
Phone (201) 882-6088

714 10TH St
Secaucus, NJ 07094-2921
Phone 20186333460000

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12200463NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Cardiovascular Center LLC CurrentSince Jul 29, 2024 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jun 1, 2021 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince Sep 28, 2022 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jun 1, 2021 Accepting new patients
Riverside Medical Group Nurse Practitioner Past Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

195 Cortlandt St
Belleville, NJ 07109
Phone (973) 429-2209

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

255 W Spring Valley Ave
Ste 200
Maywood, NJ 07607
Phone (201) 343-2778

1 Maywood Ave
Maywood, NJ 07607
Phone (201) 464-4772

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jespinal76792@direct.optum.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGCAD/Endpoint/HFGCAD

Organizations & group practices 6

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1356929863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CORTLANDT ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093128",
            "telephone_number": "973-759-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MORRIS AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811426",
            "telephone_number": "973-759-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINAL",
        "first_name": "JUNIOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "F12200463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.