Healthcare Provider Details
I. General information
NPI: 1720022999
Provider Name (Legal Business Name): CLARO ASPREC M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/16/2006
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3099 ROUTE 516
OLD BRIDGE NJ
08857-2326
US
IV. Provider business mailing address
3099 ROUTE 516
OLD BRIDGE NJ
08857-2326
US
V. Phone/Fax
- Phone: 732-679-8200
- Fax: 732-679-8201
- Phone: 732-679-8200
- Fax: 732-679-8201
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 25MA06092500 |
| License Number State | NJ |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 3K6945 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | HEALTHNET # |
| # 2 | |
| Identifier | 301150 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | US FAMILY HEALTH PLAN |
| # 3 | |
| Identifier | 1108355 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | GHI |
| # 4 | |
| Identifier | 223442277 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | TAX ID # |
| # 5 | |
| Identifier | 3730109001 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AMERIGROUP |
| # 6 | |
| Identifier | 5079096 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AETNA HMO |
| # 7 | |
| Identifier | P3630269 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | OXFORD # |
| # 8 | |
| Identifier | 0764925000 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AMERIHEALTH # |
| # 9 | |
| Identifier | 23132 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AMERIGROUP # |
| # 10 | |
| Identifier | 3730109001 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AMERIHEALTH |
| # 11 | |
| Identifier | 4068580 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AETNA HMO # |
| # 12 | |
| Identifier | HUL000060-02 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | UHC COMMUNITY AND STATE PLAN |
| # 13 | |
| Identifier | 13374 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | UNIVERSITY HEALTH PLANS # |
| # 14 | |
| Identifier | 2609945-001 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | CIGNA |
| # 15 | |
| Identifier | 4K2471 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | HEALTHNET |
| # 16 | |
| Identifier | 5079096 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AETNA PPO # |
| # 17 | |
| Identifier | 668X71 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | EMPIRE BC/BS # |
| # 18 | |
| Identifier | HUL00006001 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | AMERICHOICE # |
| # 19 | |
| Identifier | 60016913 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | HORIZON NJ HEALTH # |
| # 20 | |
| Identifier | 764925000 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AMERIHEALTH |
| # 21 | |
| Identifier | 0161637 |
| Identifier Type | OTHER |
| Identifier State | NJ |
| Identifier Issuer | GHI PPO # |
| # 22 | |
| Identifier | 1085719 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | HORIZON NJ HEALTH |
| # 23 | |
| Identifier | 784978 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AMERIHEALTH ADMINISTRATORS |
| # 24 | |
| Identifier | F20353 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | AMERIHEALTH ADMINISTRATORS |
| # 25 | |
| Identifier | P2047953 |
| Identifier Type | OTHER |
| Identifier State | |
| Identifier Issuer | OXFORD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
