ESTELITA C OUANO (M.D.) – Family Medicine Physician, NPI 1679520449

ESTELITA C OUANO (M.D.) is a healthcare provider. based in Bridgewater, New Jersey. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MA061943 (NJ). The NPI Number for ESTELITA C OUANO (M.D.) is 1679520449

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
ESTELITA C OUANO (M.D.)
NPI
1679520449
Phone
(908) 231-0777
Address
350 GROVE ST
Enumeration Date
27 May 2006
Last Update Date
20 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4087902900
Graduation Year
1982 (44 years ago)
PAC ID
9830410158
Group Practice PAC ID
5799854303
Professional Enrollment ID
I20200930001702
Address ID
CA950355254MI315XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,515 FAMILY PRACTICE in NJ

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Provider Addresses for ESTELITA C OUANO (M.D.)

  • 350, Grove Street, Bridgewater Township, Somerset County, New Jersey, 08807, United States

    BRIDGEWATER, NJ 088072833

    Phone: (908) 231-0777

    Fax: (908) 722-6031

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200930001702IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08807)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799854303View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm ESTELITA C OUANO (M.D.)'s NPI?
Yes. ESTELITA C OUANO (M.D.) is listed with NPI 1679520449 in the public NPI dataset.
Can I rely on ESTELITA C OUANO (M.D.) being an active provider?
As of the registry snapshot, ESTELITA C OUANO (M.D.) is marked active.
What is ESTELITA C OUANO (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for ESTELITA C OUANO (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for ESTELITA C OUANO (M.D.)?
ESTELITA C OUANO (M.D.)'s geographic hint is Bridgewater, New Jersey in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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