Monmouth Pediatric Group, P.A.

LBN: Monmouth Pediatric Group, P.A.
Monmouth Pediatric Group, P.A. is an health care organization with primary practice located at 272 Broad St , Red Bank NJ 07701-2003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Monmouth Pediatric Group, P.A. can be contacted via phone (732) 741-0456, or through Wassel, William via phone (732) 741-0456.

Contact Information

Primary practice address
272 Broad St Red Bank NJ 07701-2003
Phone: (732) 741-0456
Fax: (732) 219-9477
Website:
Map and Directions
Authorized official contact:
Name: Wassel, William Doctor of Medicine (MD)
Phone: (732) 741-0456

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1790726628
LBN Legal business name Monmouth Pediatric Group, P.A.
DBA Doing business as
Authorized official Wassel, William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1790726628 NPPES
New Jersey MEDICAID 2661004

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