Coastal Obstetrics & Gynecology Associates PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA029589 Issued in NJ

Legal business name

COASTAL OBSTETRICS & GYNECOLOGY ASSOCIATES PA

Practice address

72 W Jim Leeds Rd
Suite 2500 Stockton Medical Building
Pomona, NJ 08240-0836

Phone

(609) 652-6600

Fax

(609) 652-1267

NPI assigned

Aug 13, 2007

Last updated

Jan 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward L Sung, MDNPI 1821004011

Title

President

Phone

(609) 652-6600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward L Sung, M.D.

  • Obstetrics & Gynecology Physician
  • Pomona, NJ
  • NPI 1821004011
  Authorized official Same address or phone

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1235321340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082210386",
            "telephone_number": "609-652-6600",
            "fax_number": "609-652-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W JIM LEEDS RD",
            "address_2": "SUITE 2500 STOCKTON MEDICAL BUILDING",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "082400836",
            "telephone_number": "609-652-6600",
            "fax_number": "609-652-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OBSTETRICS & GYNECOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-652-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA029589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Campanella
• Matthew Campbell, PHARM.D.
• Rommel M. Celestial, MD
• Chun W Choi, M.D.
• Kingsley Chukwueke
• Mary Jo Cogan, O.T.R.
• Megan Jessica Cohl, CNM
• Jessica T Costabile, D.O.
• Cyber Radiation Oncology SRS LLC
• Jessica Cybulski, P.T., D.P.T.

• Clinic/Center in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.