Active NPIIndividual providerSole proprietor

Mr. Apolinar E Medina Sr., SOLE PROPIETOR

Driver in Bogota, New Jersey

NPI Number1063222941
Practice location
214 E Fort Lee RD, Bogota, NJ 07603-1382
Fax
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Last updated
January 13, 2025

Apolinar Enrique Medina is a Driver based in Bogota, NJ. Apolinar Enrique Medina practices in Bogota, NJ and has the professional credentials of SOLE PROPIETOR. The NPI Number for Apolinar Enrique Medina is 1063222941 and holds a License No. M21370556506692 (NJ). The current practice location address for Apolinar Enrique Medina is 214 E Fort Lee RD, Bogota, NJ 07603-1382 and can be reached out via phone at 347-260-8828.

Provider Profile Details

NPI Number
1063222941
Provider Name
Apolinar Enrique Medina
Credential
SOLE PROPIETOR
Provider Entity Type
Individual
Gender
Male
Address
214 E Fort Lee RD, Bogota, NJ 07603-1382
Phone Number
347-260-8828
Primary Taxonomy
Driver · 172A00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2025
Last Update Date
January 13, 2025
Certification Date
January 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
214 E Fort Lee RD
Bogota, NJ 07603-1382
City
Bogota
Zip
07603-1382
Phone Number
347-260-8828
Bogota, NJ 07603Get directions →

Provider Business Mailing Address Details

Address
214 E Fort Lee RD
Bogota, NJ 07603-1382
City
Bogota
State
NJ
Zip
07603-1382
Phone Number
347-260-8828

License Information

License Number
M21370556506692
License State
NJ
Taxonomy
Driver · 172A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Apolinar E Medina Sr., SOLE PROPIETOR?

The NPI number of Mr. Apolinar E Medina Sr., SOLE PROPIETOR is 1063222941. It was assigned on January 13, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Apolinar E Medina Sr., SOLE PROPIETOR?

Mr. Apolinar E Medina Sr., SOLE PROPIETOR is registered under the primary taxonomy Driver (code 172A00000X), licensed in NJ under license number M21370556506692.

Where does Mr. Apolinar E Medina Sr., SOLE PROPIETOR practice?

The practice location is 214 E Fort Lee RD, Bogota, NJ 07603-1382. The office can be reached at 347-260-8828 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063222941 directly on the NPPES registry website.

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