Organization Active NPI

Gerardo V. Estevez. MD PA

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1942380258
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA059688 Issued in NJ
Legal business name
GERARDO V. ESTEVEZ. MD PA
Practice address
1931 Oak Tree Rd
Suite 201
Edison, NJ 08820-2072
Phone
(732) 452-0680
Fax
(732) 452-9136
NPI assigned
Oct 17, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Gerardo Villaruz Estevez, M.D.NPI 1659379865
Title
President
Phone
(732) 452-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MA059688 NJ Primary

Addresses

Primary practice location

1931 Oak Tree Rd
Suite 201
Edison, NJ 08820-2072

Mailing address

1931 Oak Tree Rd
Suite 201
Edison, NJ 08820-2072
Phone (732) 452-0680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1942380258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 OAK TREE RD",
            "address_2": "SUITE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202072",
            "telephone_number": "732-452-0680",
            "fax_number": "732-452-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 OAK TREE RD",
            "address_2": "SUITE 201",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202072",
            "telephone_number": "732-452-0680",
            "fax_number": "732-452-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARDO V. ESTEVEZ. MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "VILLARUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-452-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA059688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.