Organization Active NPI

Anjan Medical Management PLLC

Doing business as Coastal mds

  • General Practice Physician
  • Wilmington, NC
National Provider Identifier
1649463993
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2006-00122 Issued in NC
Legal business name
ANJAN MEDICAL MANAGEMENT PLLC
Doing business as
Coastal mds
Practice address
1444 S 17TH St
Wilmington, NC 28401-6436
Phone
(910) 793-4311
Fax
(910) 793-4322
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Dr. Anthony K Njapa, DO,MDNPI 1881659019
Title
Partner
Phone
(910) 793-4311

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 2006-00122 NC Primary

Addresses

Primary practice location

1444 S 17TH St
Wilmington, NC 28401-6436

Mailing address

1444 S 17TH St
Wilmington, NC 28401-6436
Phone (910) 793-4311

Other identifiers 2

IdentifierTypeStateIssuer
5907797MedicaidNC
1881659019OtherNPI

Other names 1

  • Coastal mds Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000548 NC Part B Supplier - Clinic/Group Practice 3971691130 Receives reassigned benefits from 2 practitioners
Practice locations: Wilmington, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1060760Coastal MDS Family Practice & Urgent Care, PA1444 South 17TH Street, Wilmington, NC 28401Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

415 S College Rd
Ste 18
Wilmington, NC 28403
Phone (910) 793-4311

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1649463993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016436",
            "telephone_number": "910-793-4311",
            "fax_number": "910-793-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016436",
            "telephone_number": "910-793-4311",
            "fax_number": "910-793-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJAN MEDICAL MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "NJAPA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "910-793-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO,MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "2006-00122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907797",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881659019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal mds",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal mds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.