Pediatric And Adolescent Medicine
LBN: Pediatric And Adolescent Medicine
Pediatric And Adolescent Medicine is an health care organization with primary practice located at 223 Monmouth Rd , West Long Branch NJ 07764-1029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty.
Pediatric And Adolescent Medicine can be contacted via phone (732) 229-4540, or through Kingsley, Maureen E via phone (732) 229-4540.
Contact Information
Primary practice address
223 Monmouth Rd
West Long Branch NJ 07764-1029
Phone: (732) 229-4540
Fax: (732) 229-8689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MA37398 | New Jersey |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MA040400 | New Jersey |
Profile Details
| NPI number | 1053461855 |
|---|---|
| LBN Legal business name | Pediatric And Adolescent Medicine |
| DBA Doing business as | |
| Authorized official | Kingsley, Maureen E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053461855 | NPPES |
| New Jersey | MEDICAID | 2003201 | |
| New Jersey | MEDICAID | 0238201 |
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