Provider Demographics
NPI:1598700734
Name:YEPEZ, MARIA CRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CRISTINA
Last Name:YEPEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:M.
Other - Middle Name:NINA
Other - Last Name:YEPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:39 SYCAMORE AVE.
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1208
Mailing Address - Country:US
Mailing Address - Phone:732-530-7730
Mailing Address - Fax:732-530-3837
Practice Address - Street 1:39 SYCAMORE AVENUE
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739
Practice Address - Country:US
Practice Address - Phone:732-530-7730
Practice Address - Fax:732-530-3837
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07789400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083722CSUOtherMEDICARE NUMBER SUFFIX
NJH17593Medicare UPIN
NJ106331Medicare ID - Type UnspecifiedGROUP PROVIDER NO.
NJ083722Medicare ID - Type Unspecified