NINA L. TUBILLEJA, MD, P.C.
NPI 1205023660
Internal Medicine in Forked River, NJ
About Nina L. Tubilleja, Md, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINA L. TUBILLEJA, MD, P.C. (NPI 1205023660) is a healthcare organization registered as an internal medicine in Forked River, New Jersey and active in the NPI registry since October 2007. The organization lists Nina Lapidario Tubilleja, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nina L. Tubilleja, Md, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nina L. Tubilleja, MD, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nina L. Tubilleja, MD, P.C.'s NPI number?
The NPI number for Nina L. Tubilleja, MD, P.C. is 1205023660. It was assigned to this organization in the NPPES registry on October 1, 2007.
Where is Nina L. Tubilleja, MD, P.C. located?
Nina L. Tubilleja, MD, P.C. is located at 403 Penn Ave., Forked River, NJ 08731. The listed phone number is (609) 971-9392.
What is Nina L. Tubilleja, MD, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nina L. Tubilleja, MD, P.C. enrolled in Medicare?
Yes. Nina L. Tubilleja, MD, P.C. is registered in the Medicare PECOS enrollment system.
When is Nina L. Tubilleja, MD, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Nina L. Tubilleja, MD, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Nina L. Tubilleja, MD, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nina L. Tubilleja, MD, P.C. was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nina L. Tubilleja, Md, P.c. · NPI 1205023660
Internal Medicine organization in Forked River, New Jersey. Organization record, active in the CMS NPPES registry since October 1, 2007.
## Identity
- **NPI:** 1205023660 (Entity type: Organization)
- **Enumerated:** October 1, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Nina Tubilleja, PRESIDENT
## Practice location
- **Address:** 403 PENN AVE., Forked River, NJ 08731-1051
- **Phone:** (609) 971-9392
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2007
- **Other identifiers:** Medicare UPIN G40202 (NJ); Medicare PIN 029051 (NJ); Medicaid 8001901 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1205023660) · Data from the CMS NPPES public registry.