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MENDHAM PEDIATRIC CARE LLC NPI 1770796914


NPI Information

NPI: 1770796914
Provider Name: MENDHAM PEDIATRIC CARE LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D0982320

Address:
5 COLD HILL RD
SUITE 6B
MENDHAM, NJ
ZIP 07945
Phone: (973) 543-1996
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MENDHAM PEDIATRIC CARE LLC is a pediatrics in Mendham, 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. MENDHAM PEDIATRIC CARE LLC NPI is 1770796914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 COLD HILL RD
SUITE 6B
MENDHAM, NJ
ZIP 07945-015
Phone: (973) 543-1996

The provider's authorized official is Deepa Singh Minhas .
The authorized official title is Managing Member and has the following contact phone number (973) 543-1996.

The CLIA number assigned to this NPI record is 31D0982320 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 6/19/2008.


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
1208000000XPediatricsMA52535NEW JERSEYYes

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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