Pinelands Pediatric Medicine Llc

LBN: Pinelands Pediatric Medicine Llc
Pinelands Pediatric Medicine Llc is an health care organization with primary practice located at 1303 Liberty Pl , Sicklerville NJ 08081-5710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pinelands Pediatric Medicine Llc can be contacted via phone (856) 885-4854, or through Kaus, Sharon via phone (856) 885-4854.

Contact Information

Primary practice address
1303 Liberty Pl Sicklerville NJ 08081-5710
Phone: (856) 885-4854
Fax: (856) 885-4896
Website:
Map and Directions
Authorized official contact:
Name: Kaus, Sharon Doctor of Osteopathy (DO)
Phone: (856) 885-4854

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MB08379900 New Jersey

Profile Details

NPI number 1790132140
LBN Legal business name Pinelands Pediatric Medicine Llc
DBA Doing business as
Authorized official Kaus, Sharon Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2016
Last updated May 16th, 2016 - about 10 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 1790132140 NPPES
New Jersey MEDICAID 167193

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