Ajd Medical LLC
Internal Medicine, Gastroenterology in New Smyrna Beach, FL. Organization (NPI-2).
Details
- NPI
- 1629314927
- Entity type
- Organization (NPI-2)
- Legal business name
- Ajd Medical LLC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2012
- Certification date
- Jan 23, 2021
- Last updated
- Jan 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 82935 | FL | Yes |
Practice location
1722 State Road 44New Smyrna Beach, FL 32168-8339
Phone 386-427-0390 · Fax 386-427-0394
Mailing address
Po Box 2616New Smyrna Beach, FL 32170-2616
Phone 386-427-0390 · Fax 386-427-0394
Authorized official
Antonio Decarli
Ceo
3864270390
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gastroenterology Physician providers in New Smyrna Beach, FL
- Ajd Medical INCNPI 1447595293
- Antonio Decarli, M.D.NPI 1376644328
- Gastro Health, LLCNPI 1316635030
- William Rengifo Cam, MDNPI 1154551653
All 5 Gastroenterology Physician providers in New Smyrna Beach · All 824 providers in New Smyrna Beach
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