| South Jersey Infectious Disease | |
|
730 Shore Rd Somers Point NJ 08244-2331 | |
| (609) 927-6662 | |
| (609) 927-2942 |
| Full Name | South Jersey Infectious Disease |
|---|---|
| Speciality | Internal Medicine |
| Location | 730 Shore Rd, Somers Point, New Jersey |
| Authorized Official Name and Position | Christopher J Lucasti (PRESIDENT) |
| Authorized Official Contact | 6099276662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jersey Infectious Disease 730 Shore Rd Somers Point NJ 08244-2331 Ph: (609) 927-6662 | South Jersey Infectious Disease 730 Shore Rd Somers Point NJ 08244-2331 Ph: (609) 927-6662 |
| NPI Number | 1699720425 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375508476 |
|---|---|
| Medicare Enrollment ID | O20041201000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699720425 | NPI | - | NPPES |
| 6283306 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (New Jersey) | Primary |
| Provider Name | Julianne P Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437197209 PECOS PAC ID: 1850356957 Enrollment ID: I20041201000088 |
| Provider Name | Lisa L Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104989961 PECOS PAC ID: 6002841772 Enrollment ID: I20051007000671 |
| Provider Name | Dawn G Paone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710173554 PECOS PAC ID: 1951460104 Enrollment ID: I20081104000082 |
| Provider Name | Teresa M Pincus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710214499 PECOS PAC ID: 7517002611 Enrollment ID: I20100407000497 |
| Provider Name | Christopher J Lucasti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467447417 PECOS PAC ID: 9739242397 Enrollment ID: I20101118000607 |
| Provider Name | Michael Kull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831755065 PECOS PAC ID: 1658600580 Enrollment ID: I20190903000182 |
Shore Family Medicine Ass Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Bethel Rd, Somers Point, NJ 08244 Phone: 609-927-1163 |
Holistic Approach Direct Primary Care Center LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Bay Ave Ste 105, Somers Point, NJ 08244 Phone: 609-299-1230 |
Prohealth Medical Associates LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Bethel Road, Suite C-2, Somers Point, NJ 08244 Phone: 609-926-6900 Fax: 609-926-6995 |
Jersey Shore Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Connecticut Ave, Somers Point, NJ 08244 Phone: 609-904-2565 Fax: 609-904-2566 |
Ocean Internal Medicine Associates PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 634 Shore Rd, Somers Point, NJ 08244 Phone: 609-653-0808 |
Jersey Shore Gastroenterology Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 408 Bethel Rd, Point Commoms, Bldg E, Somers Point, NJ 08244 Phone: 609-926-3330 Fax: 609-926-9033 |