Southern Ocean Pediatric Associates, P.C.

LBN: Southern Ocean Pediatric Associates, P.C.
Southern Ocean Pediatric Associates, P.C. is an health care organization with primary practice located at 1100 Route 72 W Suite 304, Manahawkin NJ 08050-2468. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southern Ocean Pediatric Associates, P.C. can be contacted via phone (609) 978-9639, or through Niewiadomski, Edward J via phone (609) 978-8900.

Contact Information

Primary practice address
1100 Route 72 W Suite 304 Manahawkin NJ 08050-2468
Phone: (609) 978-9639
Fax: (609) 978-9685
Website:
Map and Directions
Authorized official contact:
Name: Niewiadomski, Edward J Doctor of Medicine (MD)
Phone: (609) 978-8900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1588697940
LBN Legal business name Southern Ocean Pediatric Associates, P.C.
DBA Doing business as
Authorized official Niewiadomski, Edward J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588697940 NPPES
New Jersey MEDICAID 0067067

Popular Providers