Individual provider Active NPI

Aileen C Estavillo, M.D

  • Internal Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1558413617
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07873500 Issued in NJ
Practice address
281 Route 34 Ste 813
Colts Neck, NJ 07722-2440
Phone
(732) 431-4620
Fax
(732) 431-3707
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 25MA07873500 NJ Primary

Addresses

Primary practice location

281 Route 34 Ste 813
Colts Neck, NJ 07722-2440

Mailing address

1 Spruce Meadows Dr
Monroe Township, NJ 08831-3100
Phone (732) 521-5285

Other names 1

  • Mrs. Aileen Estavillo-Estilo Other name

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
I20050419000200 NJ Practitioner - Internal Medicine 7911945266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

281 State Route 34
Suite 813
Colts Neck, NJ 07722-2440
Phone (732) 431-2620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07873500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Internal Medicine CurrentSince Jun 22, 2021 Accepting new patients
Centrastate Medical Center, Inc Past Accepting new patients

Locations

281 State Route 34
Ste 813
Colts Neck, NJ 07722
Phone (732) 431-2620

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

225 Willow Brook Rd
Ste 9
Freehold, NJ 07728
Phone (732) 462-0100

901 W Main St
Ste 305B
Freehold, NJ 07728
Phone (732) 462-0100

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Interoperability endpoints

  • Direct secure messaging: aestavillo409057@direct.ahsys.org
  • Direct secure messaging: aileene.estavillo.p1@direct.fpcs.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1558413617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPRUCE MEADOWS DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088313100",
            "telephone_number": "732-521-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 ROUTE 34 STE 813",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222440",
            "telephone_number": "732-431-4620",
            "fax_number": "732-431-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTAVILLO",
        "first_name": "AILEEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-11-19",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07873500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AILEEN",
            "last_name": "ESTAVILLO-ESTILO",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colts Neck, NJ

Sources for this page

Verify at the official NPI Registry.