Travis Lamont Hendricks (NPI# 1487911012, PAC ID# 5294044699) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1487911012 |
| PAC ID by PECOS | 5294044699 |
| Professional Enrollment ID | I20170906002982 |
| Full Name | Travis Lamont Hendricks |
| Organization Legal Name | INFECTIOUS DISEASES PROFESSIONALS LLC |
| Address |
9 Hospital Dr Suite B4 Toms River NJ 08755-6425 |
| Phone Number | 7329056635 |
| Gender | M |
| Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 1355341546 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310041 | COMMUNITY MEDICAL CENTER |
| 310084 | MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 | 7329056635 | INFECTIOUS DISEASES PROFESSIONALS LLC |
| Organization Legal Name | INFECTIOUS DISEASES PROFESSIONALS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Filippone | Nurse Practitioner | Infectious Diseases Professionals LLC | 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 |
| Sandeepa M Utpat | Infectious Disease | Infectious Diseases Professionals LLC | 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 |
| Venus Soriano Balaoing | Nurse Practitioner | Infectious Diseases Professionals LLC | 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 |
| Richard Valderas Penalosa Jr. | Nurse Practitioner | Infectious Diseases Professionals LLC | 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 |
| Street Address |
9 HOSPITAL DR SUITE B4 |
| City | TOMS RIVER |
| State | NJ |
| Zip | 08755-6425 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nachiket V Patel | Cardiovascular Disease (cardiology) | 9 Hospital Dr, Suite B9, Toms River, NJ 08755-6425 | |
| Christine Filippone | Nurse Practitioner | Infectious Diseases Professionals LLC | 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 |
| Barbara P Schneider | General Surgery | 9 Hospital Dr, Suite C26, Toms River, NJ 08755-6425 | |
| Sandeepa M Utpat | Infectious Disease | Infectious Diseases Professionals LLC | 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 |
| Venus Soriano Balaoing | Nurse Practitioner | Infectious Diseases Professionals LLC | 9 Hospital Dr, Suite B4, Toms River, NJ 08755-6425 |
| Amit Haresh Patel | Internal Medicine | Jersey Pulmonary Care, Md Pa | 9 Hospital Dr, A18, Toms River, NJ 08755-6425 |
| Sumul N Raval | Neurology | Garden State Neurology and Neuro-oncology, PC | 9 Hospital Dr, A7, Toms River, NJ 08755-6425 |
| Michael D Dipietro | Maxillofacial Surgery | Coastal Oral Surgery, Pa | 9 Hospital Dr, Suite 6, Toms River, NJ 08755-6425 |
| Joseph C Tauro | Orthopedic Surgery | 9 Hospital Dr, Suite 14, Toms River, NJ 08755-6425 | |
| Shamik Chakraborty | Neurosurgery | Garden State Neurology and Neuro-oncology, PC | 9 Hospital Dr, A7, Toms River, NJ 08755-6425 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa A Tacopina | Gastroenterology | Raso-cohen Gastroenterology Associates, Inc. | 129 Route 37 W, Suite 3, Toms River, NJ 08755 |
| James Souder Mccaughan | Thoracic Surgery | 67 Rt 37, Riverwood Building 2 Third Floor, Toms River, NJ 08755 | |
| Leon Galante | Physical Therapy | Orthopaedic Institute of Central Jersey | 226 Hwy 37 W, Toms River, NJ 08755 |
| Awani Kumar | Pulmonary Disease | 780 Hwy 37 W, Suite 110, Toms River, NJ 08755 | |
| James B Loftus Iii | Anesthesiology | Raso-cohen Gastroenterology Associates, Inc. | 129 Route 37 W, Suite 3, Toms River, NJ 08755 |
| Carl Raso | Gastroenterology | Raso-cohen Gastroenterology Associates, Inc. | 129 Route 37 W, Suite 3, Toms River, NJ 08755 |
| Mahboob Hussain | Anesthesiology | Raso-cohen Gastroenterology Associates, Inc. | 129 Route 37 W, Suite 3, Toms River, NJ 08755 |
| Fe Almazan Condit | Internal Medicine | 601 Route 37 W, Suite 101, Toms River, NJ 08755 | |
| Scott Cohen | Gastroenterology | Raso-cohen Gastroenterology Associates, Inc. | 129 Route 37 W, Suite 3, Toms River, NJ 08755 |
| Laurie Glasser | Physical Medicine and Rehabilitation | Orthopaedic Institute of Central Jersey | 226 Hwy 37 W, Toms River, NJ 08755 |
| Find all physicians in zip 08755 | |||
| City | TOMS RIVER |
| Zip Code | 08755 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | TOMS RIVER + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Travis Lamont Hendricks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.