Healthcare Provider Details

I. General information

NPI: 1225238074
Provider Name (Legal Business Name): BEST MEDICAL CARE NEW JERSEY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 CLIFTON AVENUE
CLIFTON NJ
07011-3263
US

IV. Provider business mailing address

467 CLIFTON AVENUE
CLIFTON NJ
07011-3263
US

V. Phone/Fax

Practice location:
  • Phone: 973-546-2088
  • Fax: 973-546-2119
Mailing address:
  • Phone: 973-546-2088
  • Fax: 973-546-2119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA06745400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number25MA06745400
License Number StateNJ

VIII. Authorized Official

Name: DR. JUAN W. ESPINDOLA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 973-546-2088