Infectious Diseases Professionals LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INFECTIOUS DISEASES PROFESSIONALS LLC

Practice address

101 Prospect St
Suite 115
Lakewood, NJ 08701-5020

Phone

(732) 625-2465

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sandeepa M UtpatNPI 1205864899

Title

Owner

Phone

(732) 625-2465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

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

• Sandeepa Makarand Utpat, MD

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1205864899
  Medicare reassignment Care Compare group NPD Authorized official
• Venus Soriano Balaoing, APN

  • Acute Care Nurse Practitioner
  • Neptune, NJ
  • NPI 1285292060

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Travis Lamont Hendricks, D.O.

  • Infectious Disease Physician
  • Toms River, NJ
  • NPI 1487911012
  Medicare reassignment Care Compare group NPD
• Richard Valderas Penalosa Jr.

  • Nurse Practitioner
  • Neptune, NJ
  • NPI 1679046601
  Medicare reassignment NPD
• Vasundhara Vidyarthi

  • Cardiovascular Disease Physician
  • Great Neck, NY
  • NPI 1114144235
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851324875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROSPECT ST",
            "address_2": "SUITE 115",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPECT ST",
            "address_2": "SUITE 115",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015020",
            "telephone_number": "732-625-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UTPAT",
        "authorized_official_first_name": "SANDEEPA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-625-2465",
        "authorized_official_name_prefix": "Dr."
    },
    "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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• Infectious Disease Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Infectious Disease Physician in New Jersey

• 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.
• 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.