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PEDIATRIC HEALTH PA NPI 1265542104


NPI Information

NPI: 1265542104
Provider Name: PEDIATRIC HEALTH, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
23 KILMER DRIVE
BUILDING 1, SUITE B
MORGANVILLE, NJ
ZIP 07751
Phone: (732) 972-0900
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PEDIATRIC HEALTH, PA is a pediatrics in Morganville, 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. PEDIATRIC HEALTH, PA NPI is 1265542104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 KILMER DRIVE
BUILDING 1, SUITE B
MORGANVILLE, NJ
ZIP 07751-571
Phone: (732) 972-0900
Fax: (732) 972-2892

The provider's authorized official is Roberta Lopez .
The authorized official title is Comptroller and has the following contact phone number (732) 780-3333.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 2/25/2011.


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
1208000000XPediatricsYes

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
13196305MEDICAIDNEW 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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