Associates in Infectious Diseases and Travel Medicine LLC
Organization Active NPI Infectious Disease Physician · Warren, NJ
NPI 1679959274 · NPPES record last updated Aug 5, 2015
Key facts
- NPI
- 1679959274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- ASSOCIATES IN INFECTIOUS DISEASES AND TRAVEL MEDICINE LLC
- Practice address
- 266 King George Rd
Suite D
Warren, NJ 07059-5120 - Phone
- (732) 707-6543
- Fax
- (732) 707-6546
- NPI assigned
- Aug 5, 2015
- Organization subpart
- No
Authorized official
- Name
- Meher Sultana, M.D.
- Title
- Authorized Representative
- Phone
- (732) 707-6543
Practitioners 3
-
Meher Sultana, MD
-
Leonora M Genoble, PA-C
-
Pradeep S. Mahal, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150917001186 | NJ | Part B Supplier - Clinic/Group Practice | 6901113307 |
Receives reassigned benefits from 1 practitioner Practice locations: Union, NJ |
National Provider Directory
Locations
865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000
1308 Morris Ave
Ste 202
Union, NJ 07083
Phone (732) 707-6543
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
266 King George Rd
Suite D
Warren, NJ 07059-5120
Mailing address
PO Box 4334
Warren, NJ 07059-0334
Other providers in Warren, NJ
- Cynthia Lynn Argiro
- Chryssoula Arsenis
- Douglas Ashinsky
- Associated Orthopaedics
- Associated Retinal Consultants, LLC
- Associates in Integrative Medicine, LLC
- Awaken Wellness, LLC
- Anatolia Azer
- Juan Baez
- Michael P Bagley
All providers in Warren, NJ · Infectious Disease 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 Aug 5, 2015. 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.