Healthcare Provider Details

I. General information

NPI: 1205268364
Provider Name (Legal Business Name): NEWBURGH PHYSICIAN SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 W GILBERT ST
TINTON FALLS NJ
07701-4947
US

IV. Provider business mailing address

66 W GILBERT ST
TINTON FALLS NJ
07701-4947
US

V. Phone/Fax

Practice location:
  • Phone: 732-212-0051
  • Fax: 732-212-0713
Mailing address:
  • Phone: 732-212-0051
  • Fax: 732-212-0713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH J CALABRO
Title or Position: PRESIDENT
Credential: DO
Phone: 732-212-0060