Healthcare Provider Details

I. General information

NPI: 1245662766
Provider Name (Legal Business Name): JONATHAN PINTO M.D. M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE STE 525
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

506 LENOX AVE
NEW YORK NY
10037-1802
US

V. Phone/Fax

Practice location:
  • Phone: 201-614-6130
  • Fax:
Mailing address:
  • Phone: 212-939-2291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA10795500
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: