Eastern Pennsylvania Infectious Disease Associates, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD069250L Issued in PA

Legal business name

EASTERN PENNSYLVANIA INFECTIOUS DISEASE ASSOCIATES, LLC

Practice address

170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155

Phone

(610) 481-0225

NPI assigned

Jan 21, 2007

Organization subpart

No

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

Authorized official

Name

Tara J Nakoa

Title

Billing Coordinator

Phone

(610) 596-4220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

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

• Denisse Dececco, FNP-C

  • Family Nurse Practitioner
  • King of Prussia, PA
  • NPI 1710455175
  Medicare reassignment Care Compare group NPD
• Amit Harsh Gangoli, MD

  • Infectious Disease Physician
  • King of Prussia, PA
  • NPI 1396732996
  Medicare reassignment Care Compare group NPD
• Alexis N Dominiecki, PA-C

  • Physician Assistant
  • West Reading, PA
  • NPI 1942918982
  Medicare reassignment Care Compare group
• Jennifer Hill, CRNP

  • Family Nurse Practitioner
  • Allentown, PA
  • NPI 1114338506
  NPD
• Barbara L. Cohen, PSYD

  • Clinical Psychologist
  • Emmaus, PA
  • NPI 1164482626
  NPD (past)
• Nicole L Schuster, LPC

  • Professional Counselor
  • Allentown, PA
  • NPI 1992201347
  NPD (past)

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1588717565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-481-9600",
            "fax_number": "610-481-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-481-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PENNSYLVANIA INFECTIOUS DISEASE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "NAKOA",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "610-596-4220"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD069250L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Dyson, PSY.D.
• Lori Dziedziak, LPC
• Eagle Health Care Inc
• Katherine Easby, DAT, LAT, ATC
• East Falls Family Dentistry,LLC
• Eliezer Echavarria
• Sophia Echternach
• Andrew M. Ecker, MD
• Sarah Eddy, MS, BCBA
• Education Alternatives for ABA, LLC (Surpass Behavioral Health)

• Infectious Disease Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.