Individual provider Active NPI

Bernabe Abrera Estrellas, MD

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1952471435
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NJ25MA5790200 Issued in NJ
Practice address
132 Evergreen Rd
NJ Veterans Memorial Homes at Menlo Park
Edison, NJ 08818
Phone
(732) 452-4176
NPI assigned
Nov 9, 2006
Last updated
Apr 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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 NJ25MA5790200 NJ Primary

Addresses

Primary practice location

132 Evergreen Rd
NJ Veterans Memorial Homes at Menlo Park
Edison, NJ 08818

Mailing address

132 Evergreen Rd
Edison, NJ 08837-2484
Phone (732) 452-4176

Other identifiers 1

IdentifierTypeStateIssuer
7472404MedicaidNJ

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
I20040819001399 NJ Practitioner - Internal Medicine 0941274690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NJ25MA5790200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Emergency Physicians LLC Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1952471435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372484",
            "telephone_number": "732-452-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EVERGREEN RD",
            "address_2": "NJ VETERANS MEMORIAL HOMES AT MENLO PARK",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08818",
            "telephone_number": "732-452-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLAS",
        "first_name": "BERNABE",
        "middle_name": "ABRERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "NJ25MA5790200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7472404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.