| Olivia T. Ortiz Md Pa | |
|
1163 Route 37 W Suite A-1 Toms River NJ 08755-4973 | |
| (732) 505-4007 | |
| (732) 736-8811 |
| Full Name | Olivia T. Ortiz Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1163 Route 37 W, Toms River, New Jersey |
| Authorized Official Name and Position | Mariciel Ortiz Gatpolintan (OFFICE MANAGER) |
| Authorized Official Contact | 7325054007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia T. Ortiz Md Pa 1163 Route 37 W Suite A-1 Toms River NJ 08755-4973 Ph: (732) 505-4007 | Olivia T. Ortiz Md Pa 1163 Route 37 W Suite A-1 Toms River NJ 08755-4973 Ph: (732) 505-4007 |
| NPI Number | 1578725073 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 0749441137 |
|---|---|
| Medicare Enrollment ID | O20120411000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578725073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA07561700 (New Jersey) | Primary |
| Provider Name | Evelyn Tiu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750335253 PECOS PAC ID: 6305825092 Enrollment ID: I20040716000096 |
| Provider Name | Olivia T Ortiz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225191992 PECOS PAC ID: 6002077492 Enrollment ID: I20120411000583 |
| Provider Name | Richard Valderas Penalosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046601 PECOS PAC ID: 6608114731 Enrollment ID: I20190313002720 |
| Provider Name | Venus S Balaoing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285292060 PECOS PAC ID: 3072849504 Enrollment ID: I20190722002945 |
| Provider Name | April L Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114618196 PECOS PAC ID: 1658728654 Enrollment ID: I20231113003701 |
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