Active NPIOrganization

Stc Pediatrics LLC

Otolaryngology, Pediatric Otolaryngology in Sewell, New Jersey

NPI Number1063056208
Practice location
100 Kings Way E Ste C, Sewell, NJ 08080-2238
Fax
—
Last updated
May 11, 2022

Stc Pediatrics LLC is a healthcare organization based in Sewell, NJ. Stc Pediatrics LLC practices in Sewell, NJ. The NPI Number for Stc Pediatrics LLC is 1063056208. The current practice location address for Stc Pediatrics LLC is 100 Kings Way E Ste C, Sewell, NJ 08080-2238 and can be reached out via phone at 856-582-0644.

Provider Profile Details

NPI Number
1063056208
Provider Name
Stc Pediatrics LLC
Provider Entity Type
Organization
Address
100 Kings Way E Ste C, Sewell, NJ 08080-2238
Phone Number
856-582-0644
Primary Taxonomy
Otolaryngology, Pediatric Otolaryngology · 207YP0228X
Organization Subpart
No
Authorized Official
Robert Ehinger · Sr Vp Financial Operations · 484-628-1324
Other Names
St. Christopher'S Pediatric Associates Otolaryngology - Sewell (Doing Business As)
Provider Enumeration Date
October 31, 2019
Last Update Date
May 11, 2022
Certification Date
May 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Kings Way E Ste C
Sewell, NJ 08080-2238
City
Sewell
Zip
08080-2238
Phone Number
856-582-0644
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
Po Box 13579
Reading, PA 19612-3579
City
Reading
State
PA
Zip
19612-3579

License Information

Taxonomy (1)
Otolaryngology · 207Y00000X
Taxonomy (3)
Pediatrics · 208000000X
Taxonomy (4)
Otolaryngology, Pediatric Otolaryngology · 207YP0228X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stc Pediatrics LLC?

The NPI number of Stc Pediatrics LLC is 1063056208. It was assigned on October 31, 2019 and is currently active in the NPPES registry.

What is the specialty of Stc Pediatrics LLC?

Stc Pediatrics LLC is registered under the primary taxonomy Otolaryngology, Pediatric Otolaryngology (code 207YP0228X).

Where does Stc Pediatrics LLC practice?

The practice location is 100 Kings Way E Ste C, Sewell, NJ 08080-2238. The office can be reached at 856-582-0644 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063056208 directly on the NPPES registry website.

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