PEDIATRIC ASSOCIATES OF ATLANTIC COUNTY NPI 1558451492

NPI Information

NPI: 1558451492
Provider Name: PEDIATRIC ASSOCIATES OF ATLANTIC COUNTY
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 9009 VENTNOR AVE
MARGATE CITY, NJ
ZIP 08402
Phone: (909) 823-2773

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NPI Details

PEDIATRIC ASSOCIATES OF ATLANTIC COUNTY is a primary care clinic center in Margate City, NJ. PEDIATRIC ASSOCIATES OF ATLANTIC COUNTY NPI is 1558451492. The provider is registered as an organization entity type.

The provider's business location address is:

9009 VENTNOR AVE
MARGATE CITY, NJ
ZIP 08402-444
Phone: (909) 823-2773
Fax: (609) 823-6464

The provider's authorized official is Glenn Randolph Budnick .
The authorized official title is President and has the following contact phone number (609) 823-2773.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 8/22/2020.

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	MA3883900	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 State	Other Provider Identifier Issuer
1	2636107	MEDICAID	NEW 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: 3/30/2025

NPI Synchronization or Removal

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