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KIMBALL MEDICAL CENTER INC NPI 1053360990


NPI Information

NPI: 1053360990
Provider Name: KIMBALL MEDICAL CENTER, INC

Doing Business As: KIMBALL MEDICAL CENTER-PHYSICIANS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
600 RIVER AVE
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 363-1900
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KIMBALL MEDICAL CENTER, INC is a pediatrics in Lakewood, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KIMBALL MEDICAL CENTER, INC NPI is 1053360990. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kimball Medical Center-physicians.

The provider's business location address is:

600 RIVER AVE
LAKEWOOD, NJ
ZIP 08701-237
Phone: (732) 363-1900
Fax: (732) 942-4422

The provider's authorized official is Galina Begun .
The authorized official title is Manager and has the following contact phone number (732) 557-7119.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 5/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1799417MEDICARE PINNEW JERSEY
27997507MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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