| Nj Shore Hospitalists Llc | |
|
901 West Main Street #307, Bldg B Freehold NJ 07728 | |
| (732) 428-7025 | |
| Not Available |
| Full Name | Nj Shore Hospitalists Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 901 West Main Street, Freehold, New Jersey |
| Authorized Official Name and Position | Linda L Baxendale (DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Contact | 7324287025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Shore Hospitalists Llc 901 West Main Street #307, Bldg B Freehold NJ 07728 Ph: (732) 428-7025 | Nj Shore Hospitalists Llc 901 West Main Street #307, Bldg B Freehold NJ 07728 Ph: (732) 428-7025 |
| NPI Number | 1528618055 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 01/30/2020 |
| Medicare PECOS PAC ID | 1557795382 |
|---|---|
| Medicare Enrollment ID | O20200102001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528618055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Gaetano Aquilino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740253871 PECOS PAC ID: 6507760519 Enrollment ID: I20031121000359 |
| Provider Name | Shilpan H Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508061623 PECOS PAC ID: 2860587714 Enrollment ID: I20071008000052 |
| Provider Name | Douglas A Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518161223 PECOS PAC ID: 5395803399 Enrollment ID: I20081020000556 |
| Provider Name | Anthony J Morelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639463730 PECOS PAC ID: 1052530854 Enrollment ID: I20140909002299 |
| Provider Name | Swara Afiniwala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760775506 PECOS PAC ID: 1456593698 Enrollment ID: I20141114001321 |
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