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GOLDSTAR PEDIATRICS LLC NPI 1104368208


NPI Information

NPI: 1104368208
Provider Name: GOLDSTAR PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D2124697

Address:
9 PROFESSIONAL CIR STE 103
COLTS NECK, NJ
ZIP 07722
Phone: (848) 300-0010
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GOLDSTAR PEDIATRICS, LLC is a pediatrics in Colts Neck, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GOLDSTAR PEDIATRICS, LLC NPI is 1104368208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 PROFESSIONAL CIR STE 103
COLTS NECK, NJ
ZIP 07722-427
Phone: (848) 300-0010
Fax: (732) 440-3737

The provider's authorized official is Ritu Khullar .
The authorized official title is Managing Member and has the following contact phone number (609) 457-5941.

The CLIA number assigned to this NPI record is 31D2124697 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2016 and was last updated on 4/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics25MA08909400NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125MA08909400OTHERNEW JERSEYNJ LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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