- Practice location
- 1540 Hwy. 138, Suite 105, Wall, NJ 07719
- Phone
- 732-280-3100
- Fax
- 732-280-3103
- Last updated
- April 4, 2014
Candlewood Pediatrics is a healthcare organization based in Wall, NJ. Candlewood Pediatrics practices in Wall, NJ. The NPI Number for Candlewood Pediatrics is 1134545429 and holds a License No. 25MA06638500 (NJ). The current practice location address for Candlewood Pediatrics is 1540 Hwy. 138, Suite 105, Wall, NJ 07719 and can be reached out via phone at 732-280-3100 and via fax at 732-280-3103.
Provider Profile Details
- NPI Number
- 1134545429
- Provider Name
- Candlewood Pediatrics
- Provider Entity Type
- Organization
- Address
- 1540 Hwy. 138, Suite 105, Wall, NJ 07719
- Phone Number
- 732-280-3100
- Fax Number
- 732-280-3103
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Tatyana Shkolnaya, MD · Proprietor/Medical Doctor · 732-280-3100
- Other Names
- Tatyana Shkolnaya (Doing Business As)
- Provider Enumeration Date
- March 11, 2014
- Last Update Date
- April 4, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1540 Hwy. 138
Suite 105
Wall, NJ 07719 - City
- Wall
- State
- New Jersey
- Zip
- 07719
- Phone Number
- 732-280-3100
- Fax Number
- 732-280-3103
Provider Business Mailing Address Details
- Address
- 1540 Hwy. 138
Suite 105
Wall, NJ 07719 - City
- Wall
- State
- NJ
- Zip
- 07719
- Phone Number
- 732-280-3100
- Fax Number
- 732-280-3103
License Information
- License Number
- 25MA06638500
- 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 Wall, NJ
View all Pediatrics providers in Wall →- Dr. Catherine L Meli, MDPediatrics · NPI 1033188834
- Naheed R Rahmet, MDPediatrics · NPI 1528036472
- Tatyana Shkolnaya, MDPediatrics · NPI 1497729842
- Samantha M Colon, APNNurse Practitioner, Psych/Mental Health · NPI 1487136750
- Danielle FreySocial Worker, Clinical · NPI 1104537323
- Mrs. Alexis GonzalezSpeech-Language Pathologist, · NPI 1962361402
Frequently Asked Questions
What is the NPI number of Candlewood Pediatrics?
The NPI number of Candlewood Pediatrics is 1134545429. It was assigned on March 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Candlewood Pediatrics?
Candlewood Pediatrics is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06638500.
Where does Candlewood Pediatrics practice?
The practice location is 1540 Hwy. 138, Suite 105, Wall, NJ 07719. The office can be reached at 732-280-3100 (phone) or 732-280-3103 (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 1134545429 directly on the NPPES registry website.