Individual provider Active NPI

Laureen Pinal, MD

  • Family Medicine Physician
  • Secaucus, NJ
National Provider Identifier
1477940906
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10392600 Issued in NJ
Practice address
210 Meadowlands Pkwy
Secaucus, NJ 07094-2311
Phone
(201) 348-3636
Fax
(201) 583-0713
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10392600 NJ Primary

Addresses

Primary practice location

210 Meadowlands Pkwy
Secaucus, NJ 07094-2311

Mailing address

3220 Pleasant Ave
Weehawken, NJ 07086-5809

Other practice location 1

480 Pompton Ave
Cedar Grove, NJ 07009
Phone (201) 679-3097

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
I20181107000151 NJ Practitioner - Family Practice 4082912589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Wood Johnson Medical Associates at Hamilton PAGroup PAC ID 6204805419, 45 clinicians

Practice addresses (Care Compare)

210 Meadowlands Pkwy
Secaucus, NJ 07094-2311
Phone (201) 348-3636

328 W Saint Georges Ave
Linden, NJ 07036-5638

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10392600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Medical Associates at Hamilton PA Family Medicine CurrentSince Sep 6, 2024 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Browne Medical, LLC CurrentSince Sep 15, 2018 Accepting new patients
Robert Wood Johnson Medical Associates at Hamilton PA CurrentSince Sep 6, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Sep 15, 2018 Accepting new patients

Locations

480 Pompton Ave
Ste 6
Cedar Grove, NJ 07009
Phone (973) 239-2300

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

328 W Saint Georges Ave
Linden, NJ 07036
Phone (608) 925-2273

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

210 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 330-9090

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

Organizations & group practices 5

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1477940906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 PLEASANT AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "070865809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942311",
            "telephone_number": "201-348-3636",
            "fax_number": "201-583-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Pompton Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Grove",
            "state": "NJ",
            "postal_code": "07009",
            "country_code": "US",
            "telephone_number": "201-679-3097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINAL",
        "first_name": "LAUREEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10392600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

Verify at the official NPI Registry.