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COASTAL PEDIATRIC ORTHOPEDICS NPI 1841717808


NPI Information

NPI: 1841717808
Provider Name: COASTAL PEDIATRIC ORTHOPEDICS
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Organization

Specialization: Pediatric Orthopaedic Surgery

Address:
833 LACEY RD STE 2
FORKED RIVER, NJ
ZIP 08731
Phone: (732) 403-3395
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COASTAL PEDIATRIC ORTHOPEDICS is a pediatric orthopaedic surgery orthopaedic surgery in Forked River, NJ. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. COASTAL PEDIATRIC ORTHOPEDICS NPI is 1841717808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

833 LACEY RD STE 2
FORKED RIVER, NJ
ZIP 08731-200
Phone: (732) 403-3395

The provider's authorized official is Christos Plakas .
The authorized official title is Owner and has the following contact phone number (732) 403-3395.

The enumeration date for this NPI number is 8/29/2017 and was last updated on 11/24/2019.


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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryYes

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
11457593261OTHERNEW JERSEYNPI

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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