Provider Demographics
NPI:1346408689
Name:ALMENDRAL, JESUS LEANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:LEANDRO
Last Name:ALMENDRAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PLUM ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2065
Mailing Address - Country:US
Mailing Address - Phone:732-253-3340
Mailing Address - Fax:732-253-3476
Practice Address - Street 1:10 PLUM ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2065
Practice Address - Country:US
Practice Address - Phone:732-253-3340
Practice Address - Fax:732-253-3476
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224499207RC0000X
PAMD437226207RC0000X
NJ25MA08921600207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP01069461OtherRAILROAD MEDICARE
NJ0222178Medicaid
PA158712FSEMedicare PIN
NJ0222178Medicare PIN
NJ233586ANUMedicare PIN
NJP01069461OtherRAILROAD MEDICARE
NJ0222178Medicaid