Organization Active NPI

Comsti Medical, LLC

  • Internal Medicine Physician
  • Neptune, NJ
National Provider Identifier
1568889277
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06813500 Issued in NJ
Legal business name
COMSTI MEDICAL, LLC
Practice address
444 Neptune Blvd
Building B, Suite 2
Neptune, NJ 07753-4144
Phone
(732) 774-0436
NPI assigned
Mar 20, 2014
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Maria Virginia Comsti, M.D.NPI 1376501866
Title
Medical Doctor
Phone
(732) 890-4895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06813500 NJ Primary

Addresses

Primary practice location

444 Neptune Blvd
Building B, Suite 2
Neptune, NJ 07753-4144

Mailing address

444 Neptune Blvd
Building B, Suite 2
Neptune, NJ 07753-4144
Phone (732) 774-0436

Other identifiers 1

IdentifierTypeStateIssuer
7823100MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140903000497 NJ Part B Supplier - Clinic/Group Practice 8022236108 Receives reassigned benefits from 1 practitioner
Practice locations: Neptune, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1568889277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "address_2": "BUILDING B, SUITE 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-774-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD",
            "address_2": "BUILDING B, SUITE 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-774-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMSTI MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "COMSTI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "732-890-4895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06813500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7823100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.