Basic Information
Provider Information
NPI: 1316445778
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GAPINSKI
FirstName: MAGDALENA
MiddleName: MARIA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 72 WIGWAM LN
Address2:  
City: TINTON FALLS
State: NJ
PostalCode: 077243176
CountryCode: US
TelephoneNumber: 9148854994
FaxNumber:  
Practice Location
Address1: 1 RIVERVIEW PLZ
Address2:  
City: RED BANK
State: NJ
PostalCode: 077011872
CountryCode: US
TelephoneNumber: 7327764483
FaxNumber: 7327764798
Other Information
ProviderEnumerationDate: 01/31/2018
LastUpdateDate: 12/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208000000X25MA10529800NJY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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