Organization Active NPI

Middlesex Infectious Diseases LLC

  • Specialist
  • Edison, NJ
National Provider Identifier
1881047405
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIDDLESEX INFECTIOUS DISEASES LLC
Practice address
3 Melbloum LN
Edison, NJ 08837-2780
Phone
(732) 910-6961
Fax
(908) 325-1940
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Ankur Patel
Title
Credentialing Coordinator
Phone
(908) 249-9512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3 Melbloum LN
Edison, NJ 08837-2780

Mailing address

3 Melbloum LN
Edison, NJ 08837-2780
Phone (732) 910-6961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160805002007 NJ Part B Supplier - Clinic/Group Practice 7012201536 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

37 Progress St
Ste AA5
Edison, NJ 08820
Phone (732) 634-2892

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": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1881047405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MELBLOUM LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372780",
            "telephone_number": "732-910-6961",
            "fax_number": "908-325-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MELBLOUM LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372780",
            "telephone_number": "732-910-6961",
            "fax_number": "908-325-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX INFECTIOUS DISEASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "908-249-9512"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.