DR. DEWI S SUDJONO-SANTOSO MEDICAL DOCTOR NPI 1053342865

NPI Information

NPI: 1053342865
Provider Name: DR. DEWI S SUDJONO-SANTOSO, MEDICAL DOCTOR
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
251 PRINCETON HIGHTOWN RD
HIGHTSTOWN, NJ
ZIP 08520
Phone: (609) 448-1421
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DR. Dewi S Sudjono-santoso, MEDICAL DOCTOR is an adolescent medicine pediatrics in Hightstown, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Dewi S Sudjono-santoso, MEDICAL DOCTOR NPI is 1053342865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

251 PRINCETON HIGHTOWN RD
HIGHTSTOWN, NJ
ZIP 08520
Phone: (609) 448-1421
Fax: (609) 395-1978

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	MA06441900	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	249850	OTHER	UNHC
2	MEP135	OTHER	OXFORD
3	385405	OTHER	AMERHLTH PPO
4	0404226610	OTHER	AMERHLTH HMO
5	3134649	OTHER	CIGNA
6	4058994	OTHER	AETNA PPO
7	2K0986	OTHER	HEALTH NET
8	36701	OTHER	AETNA HMO
9	82836	OTHER	AMERGRP

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: 5/5/2024

NPI Synchronization or Removal

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