Healthcare Provider Details

I. General information

NPI: 1255384897
Provider Name (Legal Business Name): ANDREY ESPINOZA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ROUTE 31 STE 101
FLEMINGTON NJ
08822-5811
US

IV. Provider business mailing address

200 HIGHWAY 31 STE 101
FLEMINGTON NJ
08822-5811
US

V. Phone/Fax

Practice location:
  • Phone: 908-237-9092
  • Fax: 908-237-9095
Mailing address:
  • Phone: 908-237-9092
  • Fax: 908-237-9095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License Number25MA07774300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA07774300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: