| Infectious Disease Specialists Llc | |
|
189 Eagle Rock Ave Roseland NJ 07068-1347 | |
| (973) 980-0195 | |
| (973) 774-1920 |
| Full Name | Infectious Disease Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 189 Eagle Rock Ave, Roseland, New Jersey |
| Authorized Official Name and Position | Stephen Smith (OWNER) |
| Authorized Official Contact | 9739800195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Specialists Llc Po Box 54 Roseland NJ 07068-0054 Ph: (973) 980-0195 | Infectious Disease Specialists Llc 189 Eagle Rock Ave Roseland NJ 07068-1347 Ph: (973) 980-0195 |
| NPI Number | 1699711762 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 0547279036 |
|---|---|
| Medicare Enrollment ID | O20060411000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699711762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Stephen Marshall Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104875814 PECOS PAC ID: 2163417858 Enrollment ID: I20050621000307 |
| Provider Name | Julie Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861885964 PECOS PAC ID: 7911218425 Enrollment ID: I20150624000993 |
| Provider Name | Enrique Miguel Unson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487077350 PECOS PAC ID: 4688955537 Enrollment ID: I20180307002744 |
| Provider Name | Nahyr M Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225781339 PECOS PAC ID: 1658759006 Enrollment ID: I20220526000509 |
| Provider Name | Benjamin Tack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215426812 PECOS PAC ID: 3779946876 Enrollment ID: I20230822003237 |
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