Healthcare Provider Details

I. General information

NPI: 1134607674
Provider Name (Legal Business Name): JOSEPH TULINO PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2018
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 ROUTE 33 SUITE 101
NEPTUNE NJ
07753-7631
US

IV. Provider business mailing address

3700 ROUTE 33 SUITE 101
NEPTUNE NJ
07753-7631
US

V. Phone/Fax

Practice location:
  • Phone: 732-280-7855
  • Fax: 732-280-7815
Mailing address:
  • Phone: 732-280-7855
  • Fax: 322-807-8157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00476600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number25MP00476600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: