Provider Demographics
NPI:1760929921
Name:MASINO-KALINOWSKI, SANDRA (APN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:MASINO-KALINOWSKI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 SUSAN DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6453
Mailing Address - Country:US
Mailing Address - Phone:732-597-3327
Mailing Address - Fax:
Practice Address - Street 1:15 SCHOOL RD E
Practice Address - Street 2:SUITE 2
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2062
Practice Address - Country:US
Practice Address - Phone:732-597-3327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR15827000163W00000X
NJ26NJ00703900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse