IRIS PEDIATRICS LLC NPI 1376903211

NPI Information

NPI: 1376903211
Provider Name: IRIS PEDIATRICS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
702 N BEERS ST
SUITE 1
HOLMDEL, NJ
ZIP 07733
Phone: (732) 862-0200
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IRIS PEDIATRICS, LLC is a primary care clinic center in Holmdel, NJ. IRIS PEDIATRICS, LLC NPI is 1376903211. The provider is registered as an organization entity type.

The provider's business location address is:

702 N BEERS ST
SUITE 1
HOLMDEL, NJ
ZIP 07733-520
Phone: (732) 862-0200

The provider's authorized official is Yelena Potylitsina .
The authorized official title is Medical Director and has the following contact phone number (732) 862-0200.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/4/2016.

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	261QP2300X	Clinic/Center	Primary Care	25MA08017300	NEW JERSEY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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