Healthcare Provider Details

I. General information

NPI: 1235034497
Provider Name (Legal Business Name): JOSEPH MARTIN ESTENES FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 YARD AVE
FREEHOLD NJ
07728-1928
US

IV. Provider business mailing address

34 YARD AVE
FREEHOLD NJ
07728-1928
US

V. Phone/Fax

Practice location:
  • Phone: 609-582-1863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15682600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: