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MIDDLETOWN PEDIATRICS P.A. NPI 1275757916


NPI Information

NPI: 1275757916
Provider Name: MIDDLETOWN PEDIATRICS, P.A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 31D0114900

Address:
529 HWY #35
RED BANK, NJ
ZIP 07701
Phone: (732) 741-9800
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MIDDLETOWN PEDIATRICS, P.A. is an adolescent medicine pediatrics in Red Bank, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MIDDLETOWN PEDIATRICS, P.A. NPI is 1275757916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

529 HWY #35
RED BANK, NJ
ZIP 07701-037
Phone: (732) 741-9800
Fax: (732) 758-6367

The provider's authorized official is Kathleen E Ready .
The authorized official title is Office Manager and has the following contact phone number (732) 741-9800.

The CLIA number assigned to this NPI record is 31D0114900 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


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
12080A0000XPediatricsAdolescent MedicineYes

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
10600008MEDICAIDNEW JERSEY
22905302MEDICAIDNEW JERSEY
30882909MEDICAIDNEW JERSEY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.