Atlantic Coast Urology,PA
Organization Active NPI Urology Physician · Neptune, NJ
NPI 1265635627 · NPPES record last updated Sep 21, 2007
Key facts
- NPI
- 1265635627
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- 25MA63814 (NJ)
- Legal business name
- ATLANTIC COAST UROLOGY,PA
- Practice address
- 1944 State Route 33
Suite 101
Neptune, NJ 07753-4862 - Phone
- (732) 775-8444
- Fax
- (732) 775-8550
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Matthew Steven Tobin, MD
- Title
- President
- Phone
- (732) 775-8444
Practitioners 22
-
Ian Taveras, APN
-
Nguyen Vo, MD
-
Kristin Barone, DNP, APN, FNP-BC
-
Adrian Benjumea, AGACNP
-
Zwannah Dukuly, MD
-
Loriann Gibson, APN
-
Namita Jain Gupta, M.D.
-
Chong M. Kim, MD
-
Mark Macher, M.D.
-
Medea A Rueda-Macaluso, APRN-C
-
Deep Trivedi, MD
-
Tod J Fusia, M.D.
-
Himansh Khanna, M.D.
-
Sophia Kotliar, M.D.
-
Kanan Patel, PA
-
Anis Rangwala, MD
-
Dean J Zimmermann, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070921000007 | NJ | Part B Supplier - Clinic/Group Practice | 1254425226 |
Receives reassigned benefits from 21 practitioners Practice locations: Brick, NJ; Neptune, NJ |
National Provider Directory
Locations
1944 State Route 33
Ste 101
Neptune, NJ 07753
Phone (732) 775-8444
Interoperability endpoints
- matthewtobin@acuro.medalliesdirect.net
- deanzimmermann@acuro.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | 25MA63814 | NJ | Yes |
Addresses
Primary practice location
1944 State Route 33
Suite 101
Neptune, NJ 07753-4862
Mailing address
1944 Corlies Ave
Suite 101
Neptune, NJ 07753-4862
Phone (732) 775-8444
Other providers in Neptune, NJ
- Helen Atienza
- Kimberly Atienza
- Kristen Atienza
- Catherine Atkins
- Atlantic Cardiology LLC
- Atlantic Medical, LLC
- Atlantic Shore Medical, PA
- Hosam Atoom
- Aarti Kanwal Attreya-Latuso
- Audiology Services Company USA, LLC
All providers in Neptune, NJ · Urology 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 Sep 21, 2007. 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.