PEDIATRICIAN IN MONROE NPI 1780866129

NPI Information

  • NPI: 1780866129
  • Provider Name: PEDIATRICIAN IN MONROE
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: HANNA GEBRE MEDHIN
  • Address: 18 CENTRE DR
    SUITE 205
    MONROE, NJ
    ZIP 08831
  • Phone: (732) 561-7810

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NPI Details

PEDIATRICIAN IN MONROE is a clinic center in Monroe, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PEDIATRICIAN IN MONROE NPI is 1780866129. The provider is registered as an organization entity type.
The provider Is Doing Business As Hanna Gebre Medhin.

The provider's business location address is:

18 CENTRE DR
SUITE 205
MONROE, NJ
ZIP 08831-501
Phone: (732) 561-7810
Fax: (732) 631-0742

The provider's authorized official is Hanna Gebre Medhin .
The authorized official title is Pediatrician and has the following contact phone number (732) 561-7810.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 10/1/2012.

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
1261Q00000XClinic/Center25MA07639600NEW JERSEYYes

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
10148695MEDICAIDNEW 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: 11/21/2025

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