Advanced Infectious Diseases Consultants, PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MA079673 Issued in NJ

Legal business name

ADVANCED INFECTIOUS DISEASES CONSULTANTS, PC

Practice address

98 James St Ste 200
Edison, NJ 08820-3902

Phone

(732) 230-2828

Fax

(732) 230-2479

NPI assigned

Apr 14, 2009

Last updated

Oct 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charumathi Rathnakumar, M.D.,NPI 1023146370

Title

President of the Company

Phone

(732) 230-2828

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Charumathi Rathnakumar, M.D

  • Infectious Disease Physician
  • Edison, NJ
  • NPI 1023146370
  Medicare reassignment Care Compare group NPD Authorized official
• Manzoor Un Nisa, MD

  • Infectious Disease Physician
  • Edison, NJ
  • NPI 1942839212
  Medicare reassignment Care Compare group NPD
• Mukaddes M Arslan, M.D.

  • Infectious Disease Physician
  • Englewood, NJ
  • NPI 1750532255
  Medicare reassignment NPD
• Samret Olivette Perry, NP

  • Primary Care Nurse Practitioner
  • Somerville, NJ
  • NPI 1255663704
  Medicare reassignment NPD
• Basya Noble, PA-C

  • Physician Assistant
  • Lakewood, NJ
  • NPI 1366287591
  Medicare reassignment

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1942443320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088300305",
            "telephone_number": "732-230-2828",
            "fax_number": "732-230-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JAMES ST STE 200",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-230-2828",
            "fax_number": "732-230-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INFECTIOUS DISEASES CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "RATHNAKUMAR",
        "authorized_official_first_name": "CHARUMATHI",
        "authorized_official_title_or_position": "PRESIDENT OF THE COMPANY",
        "authorized_official_telephone_number": "732-230-2828",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA079673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146013",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Edison, NJ
• Providers in Edison, 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 Oct 20, 2014; 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.