Pediatric Health, Pa

LBN: Pediatric Health, Pa
Pediatric Health, Pa is an health care organization with primary practice located at 470 Stillwells Corner Rd , Freehold NJ 07728-2969. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Health, Pa can be contacted via phone (732) 780-3333, or through Roberta, Lopez via phone (732) 780-3333.

Contact Information

Primary practice address
470 Stillwells Corner Rd Freehold NJ 07728-2969
Phone: (732) 780-3333
Fax: (732) 780-6968
Website:
Map and Directions
Authorized official contact:
Name: Roberta, Lopez
Phone: (732) 780-3333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1043314453
LBN Legal business name Pediatric Health, Pa
DBA Doing business as
Authorized official Roberta, Lopez
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Feb 16th, 2011 - 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 1043314453 NPPES
New Jersey MEDICAID 3196305

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