United States Coast Guard, Air Station Atlantic City

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

UNITED STATES COAST GUARD, AIR STATION ATLANTIC CITY

Practice address

Faa Tech Center BLDG 350
Uscg Medical Dept
Pomona, NJ 08405

Phone

(609) 677-2007

Fax

(609) 677-2143

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By 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

Camille P Hawkins, PA-C

Title

Medical Officer

Phone

(609) 677-2028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1962660340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAA TECH CENTER BLDG 350",
            "address_2": "USCG MEDICAL DEPT",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08405",
            "telephone_number": "609-677-2007",
            "fax_number": "609-677-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAA TECH CENTER BLDG 350",
            "address_2": "USCG MEDICAL DEPT",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08405",
            "telephone_number": "609-677-2007",
            "fax_number": "609-677-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES COAST GUARD, AIR STATION ATLANTIC CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "609-677-2028",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hetal Niranjan Trivedi, M.D.
• Manish Niranjan Trivedi, M.D.
• Puja Trivedi, PHARM.D.
• Paras Chandrakant Udani, DO
• Jillian Ullo
• Carl Anthony Vaccaro, D.O.
• Annemarie Wilhelmina Van Der Molen, RN. IBCLC.
• Marilouise Venditti, MD
• Peter Anthony Venuti, PHARM D
• Cynthia D. Villasis, MD

• Military/U.S. Coast Guard Outpatient Clinic/Center in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.