| Navesink Infectious Diseases LLC | |
|
200 Perrine Rd Ste 223 Old Bridge NJ 08857-2836 | |
| (732) 895-1770 | |
| (732) 362-7773 |
| Full Name | Navesink Infectious Diseases LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Perrine Rd Ste 223, Old Bridge, New Jersey |
| Authorized Official Name and Position | Nasir Mahmood Ahmad (MANAGER) |
| Authorized Official Contact | 7328951770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Navesink Infectious Diseases LLC 200 Perrine Rd Ste 223 Old Bridge NJ 08857-2836 Ph: (732) 895-1770 | Navesink Infectious Diseases LLC 200 Perrine Rd Ste 223 Old Bridge NJ 08857-2836 Ph: (732) 895-1770 |
| NPI Number | 1306570221 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/19/2022 |
| Medicare PECOS PAC ID | 5890179196 |
|---|---|
| Medicare Enrollment ID | O20220906002913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306570221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (NU) | Primary |
| Provider Name | Nasir Mahmood Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598730186 PECOS PAC ID: 5395659650 Enrollment ID: I20041124000462 |
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