Ethel And Raphael Pediatrics
Pediatrics in Ocean, New Jersey
1124282330- Practice location
- 1405 Highway 35, Suite 104, Ocean, NJ 07712-3532
- Phone
- 732-531-2200
- Fax
- 732-531-2900
- Last updated
- July 16, 2008
Ethel And Raphael Pediatrics is a healthcare organization based in Ocean, NJ. Ethel And Raphael Pediatrics practices in Ocean, NJ. The NPI Number for Ethel And Raphael Pediatrics is 1124282330 and holds a License No. 25MA07961200 (NJ). The current practice location address for Ethel And Raphael Pediatrics is 1405 Highway 35, Suite 104, Ocean, NJ 07712-3532 and can be reached out via phone at 732-531-2200 and via fax at 732-531-2900.
Provider Profile Details
- NPI Number
- 1124282330
- Provider Name
- Ethel And Raphael Pediatrics
- Provider Entity Type
- Organization
- Address
- 1405 Highway 35, Suite 104, Ocean, NJ 07712-3532
- Phone Number
- 732-531-2200
- Fax Number
- 732-531-2900
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Olukemi Omotoso, MD · Owner · 732-531-2200
- Provider Enumeration Date
- July 16, 2008
- Last Update Date
- July 16, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1405 Highway 35
Suite 104
Ocean, NJ 07712-3532 - City
- Ocean
- State
- New Jersey
- Zip
- 07712-3532
- Phone Number
- 732-531-2200
- Fax Number
- 732-531-2900
Provider Business Mailing Address Details
- Address
- 1405 Highway 35
Suite 104
Ocean, NJ 07712-3532 - City
- Ocean
- State
- NJ
- Zip
- 07712-3532
- Phone Number
- 732-531-2200
- Fax Number
- 732-531-2900
License Information
- License Number
- 25MA07961200
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Ocean, NJ
View all Pediatrics providers in Ocean →Frequently Asked Questions
What is the NPI number of Ethel And Raphael Pediatrics?
The NPI number of Ethel And Raphael Pediatrics is 1124282330. It was assigned on July 16, 2008 and is currently active in the NPPES registry.
What is the specialty of Ethel And Raphael Pediatrics?
Ethel And Raphael Pediatrics is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA07961200.
Where does Ethel And Raphael Pediatrics practice?
The practice location is 1405 Highway 35, Suite 104, Ocean, NJ 07712-3532. The office can be reached at 732-531-2200 (phone) or 732-531-2900 (fax).
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 1124282330 directly on the NPPES registry website.