| Advanced Infectious Diseases Consultants, Pc | |
|
98 James St Ste 200 Edison NJ 08820-3902 | |
| (732) 230-2828 | |
| (732) 230-2479 |
| Full Name | Advanced Infectious Diseases Consultants, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 98 James St Ste 200, Edison, New Jersey |
| Authorized Official Name and Position | Charumathi Rathnakumar (PRESIDENT OF THE COMPANY) |
| Authorized Official Contact | 7322302828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Infectious Diseases Consultants, Pc Po Box 305 Iselin NJ 08830-0305 Ph: (732) 230-2828 | Advanced Infectious Diseases Consultants, Pc 98 James St Ste 200 Edison NJ 08820-3902 Ph: (732) 230-2828 |
| NPI Number | 1942443320 |
|---|---|
| Provider Enumeration Date | 04/14/2009 |
| Last Update Date | 10/20/2014 |
| Medicare PECOS PAC ID | 5799835484 |
|---|---|
| Medicare Enrollment ID | O20090618000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942443320 | NPI | - | NPPES |
| 0146013 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MA079673 (New Jersey) | Primary |
| Provider Name | Charumathi Rathnakumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023146370 PECOS PAC ID: 6709975105 Enrollment ID: I20071208000081 |
| Provider Name | Mukaddes Yasar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750532255 PECOS PAC ID: 8224270558 Enrollment ID: I20171221000800 |
| Provider Name | Samret O Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255663704 PECOS PAC ID: 6507194495 Enrollment ID: I20190830001342 |
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