Individual provider Active NPI

Nonato Espiritu Pineda, M.D.

  • Internal Medicine Physician
  • Lakehurst, NJ
National Provider Identifier
1548229891
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA064187 Issued in NJ
Practice address
681 Route 70
Lakehurst, NJ 08733-2853
Phone
(732) 657-8111
Fax
(732) 657-7828
NPI assigned
Mar 23, 2006
Last updated
Dec 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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 MA064187 NJ Primary

Addresses

Primary practice location

681 Route 70
Lakehurst, NJ 08733-2853

Mailing address

681 Route 70
Lakehurst, NJ 08733-2853
Phone (732) 657-8111

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
I20050621000333 NJ Practitioner - Internal Medicine 9830089671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neptune Internal Medicine, LLCGroup PAC ID 8123059037, 2 clinicians
Comsti Deperio Pineda and Associates LLCGroup PAC ID 8224928064, 2 clinicians

Practice addresses (Care Compare)

3456 W Bangs Ave
Neptune, NJ 07753-3012
Phone (732) 922-1122

681 Route 70
Lakehurst, NJ 08733-2853
Phone (732) 657-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064187NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth P Deperio M D and Associates P C Internal Medicine Past Accepting new patients
Xiaoming Liu MD and Associates, PC Internal Medicine PastSince Oct 12, 2005 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1548229891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 ROUTE 70",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "087332853",
            "telephone_number": "732-657-8111",
            "fax_number": "732-657-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 ROUTE 70",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "087332853",
            "telephone_number": "732-657-8111",
            "fax_number": "732-657-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "NONATO",
        "middle_name": "ESPIRITU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA064187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakehurst, NJ

Sources for this page

Verify at the official NPI Registry.