Provider Demographics
NPI:1033256151
Name:NERI, LINDA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:NERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MAY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3266
Mailing Address - Country:US
Mailing Address - Phone:732-738-9292
Mailing Address - Fax:732-738-9414
Practice Address - Street 1:225 MAY ST
Practice Address - Street 2:SUITE B
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3266
Practice Address - Country:US
Practice Address - Phone:732-738-9292
Practice Address - Fax:732-738-9414
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04899000208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11086138OtherMULTIPLAN
NJP2207254OtherOXFORD
NJ7792506Medicaid
NJ2640223OtherAETNAUS HEALTHCARE
NJ61037044121600OtherAMERIHEALTH
NJ1855321NOtherFIRST HEALTH
NJ1951058OtherUNITED HEALTHCARE
NJ48768OtherAMERIHEALTH AMERIGROUP
NJ02005132824KBOXOtherRR MEDICARE
NJ2631867OtherCIGNA
NJ31963OtherMASTERCARE
NJ134134OtherCHN
NJ2511736OtherGHI
NJE55107Medicare UPIN
NJ02005132824KBOXOtherRR MEDICARE