Provider Demographics
NPI:1629050760
Name:TOMAINO-ESPOSITO, JEANNE (MD)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:TOMAINO-ESPOSITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:TOMAINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8519
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-8519
Mailing Address - Country:US
Mailing Address - Phone:732-460-9840
Mailing Address - Fax:732-460-9848
Practice Address - Street 1:248 BROAD ST
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2020
Practice Address - Country:US
Practice Address - Phone:732-530-3433
Practice Address - Fax:732-758-1953
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1539428OtherUNITED HEALTHCARE OF NEW
P3186541OtherOXFORD HEALTH PLANS
182AX1OtherEMPIRE BCBS OF NY
3479204OtherAETNA
7255451OtherCIGNA HEALTHCARE OF NJ
2K7031OtherHEALTH NET OF NEW JERSEY
NJ5147603Medicaid
P00006942OtherMEDICARE RAILROAD
3479204OtherAETNA
P3186541OtherOXFORD HEALTH PLANS