=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508711474
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARESOLA MEDICAL SERVICES EAST PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 HUDSON ST FL 21
-----------------------------------------------------
City | JERSEY CITY
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07302-3929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 551-291-2388
-----------------------------------------------------
Fax | 856-644-1532
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1903 NORTHGATE BLVD STE 116
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34234-2143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 551-291-2388
-----------------------------------------------------
Fax | 856-644-1532
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | JOHN BURLINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 650-798-9039
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------