Healthcare Provider Details

I. General information

NPI: 1699022160
Provider Name (Legal Business Name): AMIN PAULINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 MCLAMB PL
GOLDSBORO NC
27534-1647
US

IV. Provider business mailing address

2809 MCLAMB PL
GOLDSBORO NC
27534-1647
US

V. Phone/Fax

Practice location:
  • Phone: 919-580-9840
  • Fax: 919-580-9838
Mailing address:
  • Phone: 919-580-9840
  • Fax: 919-580-9838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2018-00269
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number24910
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: