Holmdel Pediatrics, Llc
Pediatric Adolescent Medicine
Holmdel Pediatrics, Llc is a Holmdel, New Jersey based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
719 N Beers St, Suite 1e, Holmdel, New Jersey - 07733-1522. They can be contacted on phone at
732-290-1063 and fax number 732-739-9537.
NPI number (Unique professional ID) for Holmdel Pediatrics, Llc is
1760618383 which was assigned by NPPES on 10 Jun, 2009 and it was last updated on 10 Jun, 2009.
Holmdel Pediatrics, Llc license number is
25MA073809 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Holmdel Pediatrics, Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Holmdel Pediatrics, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Holmdel Pediatrics, Llc |
|---|
Business Address:
Holmdel Pediatrics, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 719 N Beers St, Suite 1e
Holmdel, NJ, 07733-1522
United States |
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| Phone Number : | 732-290-1063 |
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| Fax Number : | 732-739-9537 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760618383 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 Jun, 2009 |
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| Last Updated On : | 10 Jun, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Sowmini Kommireddi |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 732-290-1063 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Holmdel Pediatrics, Llc are as mentioned. Primary taxonomy code for Holmdel Pediatrics, Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 25MA073809 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Holmdel Pediatrics, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1518064260 | Other | NJ | NPI |
| 1154462604 | Other | NJ | NPI |
| 9078502 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 719 N Beers St, Suite 1e
Holmdel, NJ, 07733-1522
United States |
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| Phone Number : | 732-290-1063 |
|---|
| Fax Number : | 732-739-9537 |
|---|
Business Location:
Patients can refer following map for directions to
Holmdel Pediatrics, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.