Coastal Dermatology LLC
NPI 1528466919ActiveOrganization· Dermatology· Brick, NJ
Dermatology in Brick, New Jersey, registered in NPPES in December 2014. The authorized official on file is Anita Marie Osmundson, D.O., Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528466919 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2014 |
| Last updated in NPPES | Jan 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Dermatology providers in Brick
- 1023082534
- 1639343155