Ian Vimar Quinitio Quintanilla, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15008300 Issued in NJ

Practice address

180 White Rd Ste 201
Little Silver, NJ 07739-1166

Phone

(732) 383-7696

NPI assigned

Feb 22, 2024

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pierre Mendoza MD LLC

  dba Pinnacle Urology

  • Urology Physician
  • Toms River, NJ
  • NPI 1922646132
  NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1851157390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MULE RD STE E5",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WHITE RD STE 201",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391166",
            "telephone_number": "732-383-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Mule Rd Ste E5",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087555052",
            "country_code": "US",
            "telephone_number": "732-230-2661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "IAN VIMAR",
        "middle_name": "QUINITIO",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15008300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proactive Health Chiropractic
• Proactive Sports Care and Rehabilitation,PC
• Joseph Pucci, RPH
• Pyour Core Sport Care PC
• Angela Qian, PHARM.D.
• R3 Physiotherapy and Wellness LLC
• Sangmi Ra, DIPL.AC., L.AC
• Cara Raboteau, L.AC., DIPL.AC.
• Joseph Raevis III
• Red Bank Radiologists, PA (same)

• Family Nurse Practitioner in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.