Holmdel Pediatrics, Llc

LBN: Holmdel Pediatrics, Llc
Holmdel Pediatrics, Llc is an health care organization with primary practice located at 719 N Beers St Suite 1E, Holmdel NJ 07733-1522. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Holmdel Pediatrics, Llc can be contacted via phone (732) 290-1063, or through Kommireddi, Sowmini via phone (732) 290-1063.

Contact Information

Primary practice address
719 N Beers St Suite 1E Holmdel NJ 07733-1522
Phone: (732) 290-1063
Fax: (732) 739-9537
Website:
Map and Directions
Authorized official contact:
Name: Kommireddi, Sowmini Doctor of Medicine (MD)
Phone: (732) 290-1063

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 25MA073809 New Jersey

Profile Details

NPI number 1760618383
LBN Legal business name Holmdel Pediatrics, Llc
DBA Doing business as
Authorized official Kommireddi, Sowmini Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2009
Last updated Jun 10th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760618383 NPPES
New Jersey Other 1154462604 NPI
New Jersey MEDICAID 9078502 NPI
New Jersey Other 1518064260 NPI

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