# ATLANTIC SHORE PUL ASSOC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlantic Shore Pulmonary and Sleep Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770646770
- **Authorized official:** DR. PETER J COSTANTINI DO (PRESIDENT)
- **Authorized official phone:** (609) 926-1450

## Contact information

- **Practice address:** 18 W NEW YORK AVENUE, SOMERS POINT, NJ 08244
- **Practice address phone:** (609) 926-1450
- **Practice address fax:** (609) 926-8419
- **Mailing address:** 18 W NEW YORK AVENUE, SOMERS POINT, NJ 08244
- **Mailing address phone:** (609) 926-1450
- **Mailing address fax:** (609) 926-8419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0038145 | AETNA | NJ |
| 01 | — | 0091693000 | AMERIHEALTH | NJ |
| 05 | — | 3365409 | — | NJ |
| 01 | — | CF1748 | TRAVELERS MEDICARE | NJ |