Pediatric And Adolescent Medicine
Pediatric Adolescent Medicine
Pediatric And Adolescent Medicine is a West Long Branch, New Jersey based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
223 Monmouth Rd, West Long Branch, New Jersey - 07764-1029. They can be contacted on phone at
732-229-4540 and fax number 732-229-8689.
NPI number (Unique professional ID) for Pediatric And Adolescent Medicine is
1053461855 which was assigned by NPPES on 12 Jan, 2007 and it was last updated on 22 Aug, 2020.
Pediatric And Adolescent Medicine license number is
MA37398 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Pediatric And Adolescent Medicine 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:
Pediatric And Adolescent Medicine basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric And Adolescent Medicine |
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Business Address:
Pediatric And Adolescent Medicine 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 : | 223 Monmouth Rd
West Long Branch, NJ, 07764-1029
United States |
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| Phone Number : | 732-229-4540 |
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| Fax Number : | 732-229-8689 |
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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 : | 1053461855 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Jan, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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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 : | Maureene Kingsley |
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| Official Title or Position : | OFFICE MNG |
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| Phone Number : | 732-229-4540 |
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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 Pediatric And Adolescent Medicine are as mentioned. Primary taxonomy code for Pediatric And Adolescent Medicine is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | MA040400 | NJ |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA37398 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric And Adolescent Medicine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2003201 | MEDICAID | NJ | |
| 0238201 | 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 : | 223 Monmouth Rd
West Long Branch, NJ, 07764-1029
United States |
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| Phone Number : | 732-229-4540 |
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| Fax Number : | 732-229-8689 |
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Business Location:
Patients can refer following map for directions to
Pediatric And Adolescent Medicine practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.