EUMENA DIVINO NPI 1225076235

NPI Information

NPI: 1225076235
Provider Name: EUMENA DIVINO
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
390 NEW BRUNSWICK AVE
FORDS, NJ
ZIP 08863
Phone: (732) 738-4260
Get Directions

Eumena Divino is an obstetrics gynecology in Fords, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Eumena Divino NPI is 1225076235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

390 NEW BRUNSWICK AVE
FORDS, NJ
ZIP 08863-110
Phone: (732) 738-4260
Fax: (732) 738-5693

The NPI 1225076235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		25MA02674500	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2K9373	OTHER	NEW JERSEY	HEALTHNET #
2	C54949	MEDICARE UPIN	NEW JERSEY
3	1108112	OTHER	NEW JERSEY	AETNA HMO #
4	P3618222	OTHER	NEW JERSEY	OXFORD #
5	4272415	OTHER	NEW JERSEY	AETNA PPO #
6	805E92	OTHER	NEW JERSEY	EMPIRE BCBS (FORDS)
7	0102820000	OTHER	NEW JERSEY	AMERIHEALTH #
8	0296220	OTHER	NEW JERSEY	GHI PPO #
9	449417TDX	MEDICARE PIN	NEW JERSEY
10	805E91	OTHER	NEW JERSEY	EMPIRE BCBS (PERTH AMBOY)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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