Coastal Medical Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06399000 Issued in NJ

Legal business name

COASTAL MEDICAL GROUP PA

Practice address

3 Hospital PLZ
Suite 315
Old Bridge, NJ 08857-3093

Phone

(732) 360-1500

Fax

(732) 360-0551

NPI assigned

Jul 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sangeeta Agarwal, M.D.NPI 1790756062

Title

President

Phone

(732) 360-1500

Specialties & licenses 1

Addresses

Other names 1

• Sangeeta Agarwal, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sangeeta Agarwal, M.D.

  • Internal Medicine Physician
  • Old Bridge, NJ
  • NPI 1790756062
  Medicare reassignment NPD Authorized official
• Anangur P Swaminathan, MD

  • Surgery Physician
  • Edison, NJ
  • NPI 1104885417
  NPD (past)
• William Yaw-Ntaaku Asihene, M.D, PH.D

  • Surgery Physician
  • Plano, IL
  • NPI 1023161940
  NPD (past)
• Denise Antoinette Lawrence, MD

  • Family Medicine Physician
  • Schenectady, NY
  • NPI 1659309599
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1124045943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "address_2": "SUITE 315",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573093",
            "telephone_number": "732-360-1500",
            "fax_number": "732-360-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL PLZ",
            "address_2": "SUITE 315",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573093",
            "telephone_number": "732-360-1500",
            "fax_number": "732-360-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "SANGEETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-360-1500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06399000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sangeeta Agarwal, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Varda Suhail Choudhry, MD
• Farhad Reza Chowdhury, D.O.
• Pearlin Christian, OTR/L
• Aida Cino, NURSE PRACTITIONER
• John Christopher Closs IV, DPT
• Brad J Cohen, MD
• Nicolisa Judith Cohen, LCSW
• Shonta Denise Collins, CRNP, FNP-C
• Community Distributors, Inc.
• Compas Chiropractic, LLC

• Internal Medicine Physician in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.