NPIMap

Organization Active NPI

Olivia T. Ortiz MD PA

  • Infectious Disease Physician
  • Toms River, NJ
National Provider Identifier
1578725073
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA07561700 Issued in NJ
Legal business name
OLIVIA T. ORTIZ MD PA
Practice address
1163 Route 37 W
Suite a-1
Toms River, NJ 08755-4973
Phone
(732) 505-4007
Fax
(732) 736-8811
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mrs. Mariciel Ortiz Gatpolintan
Title
Office Manager
Phone
(732) 505-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 25MA07561700 NJ Primary

Addresses

Primary practice location

1163 Route 37 W
Suite a-1
Toms River, NJ 08755-4973

Mailing address

1163 Route 37 W
Suite a-1
Toms River, NJ 08755-4973
Phone (732) 505-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000552 NJ Part B Supplier - Clinic/Group Practice 0749441137 Receives reassigned benefits from 5 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1578725073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W",
            "address_2": "SUITE A-1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554973",
            "telephone_number": "732-505-4007",
            "fax_number": "732-736-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W",
            "address_2": "SUITE A-1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554973",
            "telephone_number": "732-505-4007",
            "fax_number": "732-736-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA T. ORTIZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GATPOLINTAN",
        "authorized_official_first_name": "MARICIEL",
        "authorized_official_middle_name": "ORTIZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-505-4007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA07561700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.