Healthcare Provider Details

I. General information

NPI: 1043348220
Provider Name (Legal Business Name): JACQUELINE LOPRESTI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 SHREWSBURY AVE .
SHREWSBURY NJ
07702-4179
US

IV. Provider business mailing address

655 SHREWSBURY AVE 655 SHREWSBURY AVENUE
SHREWSBURY NJ
07702-4179
US

V. Phone/Fax

Practice location:
  • Phone: 732-576-8850
  • Fax: 732-747-1468
Mailing address:
  • Phone: 732-788-9488
  • Fax: 732-358-0498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMB54497
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: