NEWBORN TO ADOLESCENT SPECIALISTS NPI 1720106388

NPI Information

NPI: 1720106388
Provider Name: NEWBORN TO ADOLESCENT SPECIALISTS

Former Legal Business Name: LAKSHMI NANDIWADA MD

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
24 PLAZA 9
ENGLISHTOWN, NJ
ZIP 07726
Phone: (732) 431-0505
Get Directions

NEWBORN TO ADOLESCENT SPECIALISTS is an adolescent medicine pediatrics in Englishtown, 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. NEWBORN TO ADOLESCENT SPECIALISTS NPI is 1720106388. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Lakshmi Nandiwada Md.

The provider's business location address is:

24 PLAZA 9
ENGLISHTOWN, NJ
ZIP 07726
Phone: (732) 431-0505
Fax: (732) 294-2470

The provider's authorized official is Lakshmi P Nandiwada .
The authorized official title is Physician - President and has the following contact phone number (732) 431-0505.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 5/19/2009.

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
1	2080A0000X	Pediatrics	Adolescent Medicine			No
2	2080A0000X	Pediatrics	Adolescent Medicine	25MA04546100	NEW JERSEY	No
3	2080A0000X	Pediatrics	Adolescent Medicine	MA51781	NEW JERSEY	Yes

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
1	3835804	MEDICAID	NEW 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

NPI Synchronization or Removal

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