Edwin Constantino MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA05482600 Issued in NJ

Legal business name

EDWIN CONSTANTINO MD LLC

Practice address

10 Huron Ave Apt 1L
Jersey City, NJ 07306-3627

Phone

(201) 656-0440

Fax

(201) 656-3444

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Constantino, MDNPI 1083708309

Title

Owner

Phone

(201) 656-0440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin M. Constantino, MD

  • Physical Medicine & Rehabilitation Physician
  • Irvington, NJ
  • NPI 1083708309
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1548438039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HURON AVE APT 1L",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063627",
            "telephone_number": "201-656-0440",
            "fax_number": "201-656-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HURON AVE APT 1L",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063627",
            "telephone_number": "201-656-0440",
            "fax_number": "201-656-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN CONSTANTINO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-656-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA05482600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle Eberhart, RDN
• Angie Ebraheem, MA, LAC
• Sean Bennett Eden, PA-C, MD
• Sarah Edery
• Karlie Edwards, PT, DPT
• Kieran Thomas Egan
• Marwa Eid
• Elizabeth Eilender, R.D.
• Roseann Eish, PTA
• Sahar Eivaz Mohammadi, M.D.

• Physical Medicine & Rehabilitation Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.