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ST MICHAEL INFECTIOUS DISEASE ASSOCIATES NPI 1811942766


NPI Information

NPI: 1811942766
Provider Name: ST MICHAEL INFECTIOUS DISEASE ASSOCIATES
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 31D0107985

Address:
265 DR MARTIN LUTHER KING JR BLVD
NEWARK, NJ
ZIP 07102
Phone: (973) 877-2586
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ST MICHAEL INFECTIOUS DISEASE ASSOCIATES is an infectious disease internal medicine in Newark, 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. ST MICHAEL INFECTIOUS DISEASE ASSOCIATES NPI is 1811942766. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

265 DR MARTIN LUTHER KING JR BLVD
NEWARK, NJ
ZIP 07102-012
Phone: (973) 877-2586

The provider's authorized official is Stephen Smith .
The authorized official title is Owner and has the following contact phone number (973) 877-2586.

The CLIA number assigned to this NPI record is 31D0107985 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 5/27/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseMA060236NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18420301MEDICAIDNEW JERSEY
2G30983MEDICARE UPINNEW JERSEY
3046281MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 4/28/2024

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