Coastal Infectious Diseases and Critical Care, Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25MA05817700 Issued in NJ

Legal business name

COASTAL INFECTIOUS DISEASES AND CRITICAL CARE, INC.

Practice address

166 Edgewood Dr
Toms River, NJ 08755-7353

Phone

(732) 341-4391

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Philip Joseph Principe, M.D.

Title

President

Phone

(732) 341-4391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932280146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 EDGEWOOD DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557353",
            "telephone_number": "732-341-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 EDGEWOOD DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087557353",
            "telephone_number": "732-341-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INFECTIOUS DISEASES AND CRITICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINCIPE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-341-4391",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA05817700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CMG Brentwood, LLC
• Gregory Shawn Coakley, D.D.S
• Coast Orthopedic Associates PA
• Coast Rehab Toms River LLC
• Coastal Hematology & Oncology Center Professional Corporation
• Coastal Oral Surgery Group, LLC
• Coastal Pulmonary, P.a.
• Coastal Rehabilitation Medicine Associates PC
• Coastal Sports Medicine LLC
• John Anthony Coccaro, M.D.

• Infectious Disease Physician in Toms River, NJ
• Providers in Toms River, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.