Infectious Disease Physicians, PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTIOUS DISEASE PHYSICIANS, PA

Practice address

1001 Briggs Rd
Suite 250
Mount Laurel, NJ 08054-4100

Phone

(856) 866-7466

Fax

(856) 866-9088

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Karen F Antolik

Title

Practice Manager

Phone

(856) 866-7466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285680694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD",
            "address_2": "SUITE 250",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544100",
            "telephone_number": "856-866-7466",
            "fax_number": "856-866-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD",
            "address_2": "SUITE 250",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544100",
            "telephone_number": "856-866-7466",
            "fax_number": "856-866-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTOLIK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "856-866-7466"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.