Coastal Infectious Disease Consultants, LLC
Organization Active NPI Infectious Disease Physician · Ocean City, NJ
NPI 1023328945 · NPPES record last updated Oct 13, 2010
Key facts
- NPI
- 1023328945
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 25MB08386800 (NJ)
- Legal business name
- COASTAL INFECTIOUS DISEASE CONSULTANTS, LLC
- Practice address
- 5548 Asbury Ave
Ocean City, NJ 08226-1236 - Phone
- (609) 442-8236
- NPI assigned
- Oct 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Paras Chandrakant Udani, DO
- Title
- Ceo
- Phone
- (609) 442-8236
Practitioners 11
-
Justin Peter Baptist, M.D.
-
Jennifer A Lospinoso, ANP
-
Anthony Migioia, APN
-
Rachael Tridente, ACNP
-
Manish Niranjan Trivedi, M.D.
-
Courtney Alyssa Chavan, MSN, APN, FNP-C
-
Gina Marie Deleo, APN
-
Chandrakant I. Udani, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110201000186 | NJ | Part B Supplier - Clinic/Group Practice | 5395924740 |
Receives reassigned benefits from 10 practitioners Practice locations: Pomona, NJ |
National Provider Directory
Locations
4 W Roosevelt Blvd
Ste 11AND12
Marmora, NJ 08223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | 25MB08386800 | NJ | Yes |
Addresses
Primary practice location
5548 Asbury Ave
Ocean City, NJ 08226-1236
Mailing address
5548 Asbury Ave
Ocean City, NJ 08226-1236
Other providers in Ocean City, NJ
- Joanne Chilkotowsky
- Jessie Lynn Chism
- City of Ocean City
- Patricia A Clark
- Shelby Lynne Clark
- Kristen Conover
- Counseling by the Sea, LLC
- Christine Delorenzo
- Kathleen Patricia Denesha
- Jennifer Deuel
All providers in Ocean City, NJ · Infectious Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.