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VENTNOR PEDIATRICS INC NPI 1689961401


NPI Information

NPI: 1689961401
Provider Name: VENTNOR PEDIATRICS INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D1009321

Address:
6601 VENTNOR AVE
SUITE #14
VENTNOR CITY, NJ
ZIP 08406
Phone: (609) 487-6507
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VENTNOR PEDIATRICS INC is a pediatrics in Ventnor City, 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. VENTNOR PEDIATRICS INC NPI is 1689961401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6601 VENTNOR AVE
SUITE #14
VENTNOR CITY, NJ
ZIP 08406-167
Phone: (609) 487-6507
Fax: (609) 487-6508

The provider's authorized official is Emiola O Asemota .
The authorized official title is Owner/ceo and has the following contact phone number (609) 487-6507.

The CLIA number assigned to this NPI record is 31D1009321 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2011 and was last updated on 6/30/2011.


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
1208000000XPediatrics25MA06156800NEW 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
1G19624MEDICARE UPINNEW JERSEY
26482406MEDICAIDNEW JERSEY
3AS805817MEDICARE PINNEW 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

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