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SOUTH JERSEY INFECTIOUS DISEASE NPI 1699720425


NPI Information

NPI: 1699720425
Provider Name: SOUTH JERSEY INFECTIOUS DISEASE
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 31D2038481

Address:
730 SHORE RD
SOMERS POINT, NJ
ZIP 08244
Phone: (609) 927-6662
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SOUTH JERSEY INFECTIOUS DISEASE is an infectious disease internal medicine in Somers Point, NJ. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. SOUTH JERSEY INFECTIOUS DISEASE NPI is 1699720425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

730 SHORE RD
SOMERS POINT, NJ
ZIP 08244-331
Phone: (609) 927-6662
Fax: (609) 927-2942

The provider's authorized official is Christopher J Lucasti .
The authorized official title is President and has the following contact phone number (609) 927-6662.

The CLIA number assigned to this NPI record is 31D2038481 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16283306MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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