Active NPIOrganization

Pedsgastro Center LLC

Pediatrics, Pediatric Gastroenterology in Hamilton, New Jersey

NPI Number1336411958
Practice location
2123 Klockner RD, Hamilton, NJ 08690-3417
Fax
609-586-7338
Last updated
February 1, 2012

Pedsgastro Center LLC is a healthcare organization based in Hamilton, NJ. Pedsgastro Center LLC practices in Hamilton, NJ. The NPI Number for Pedsgastro Center LLC is 1336411958 and holds a License No. 25MA08176100 (NJ). The current practice location address for Pedsgastro Center LLC is 2123 Klockner RD, Hamilton, NJ 08690-3417 and can be reached out via phone at 609-586-7337 and via fax at 609-586-7338.

Provider Profile Details

NPI Number
1336411958
Provider Name
Pedsgastro Center LLC
Provider Entity Type
Organization
Address
2123 Klockner RD, Hamilton, NJ 08690-3417
Phone Number
609-586-7337
Fax Number
609-586-7338
Primary Taxonomy
Pediatrics, Pediatric Gastroenterology · 2080P0206X
Organization Subpart
No
Authorized Official
Sabeena Farhath, MD · Owner · 856-874-6500
Provider Enumeration Date
January 27, 2012
Last Update Date
February 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2123 Klockner RD
Hamilton, NJ 08690-3417
Zip
08690-3417
Phone Number
609-586-7337
Fax Number
609-586-7338
Hamilton, NJ 08690Get directions →

Provider Business Mailing Address Details

Address
15 Lynch RD
Voorhees, NJ 08043-4116
City
Voorhees
State
NJ
Zip
08043-4116
Phone Number
856-874-6500
Fax Number
856-874-0512

License Information

License Number
25MA08176100
License State
NJ
Taxonomy
Pediatrics, Pediatric Gastroenterology · 2080P0206X · 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 Pedsgastro Center LLC?

The NPI number of Pedsgastro Center LLC is 1336411958. It was assigned on January 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Pedsgastro Center LLC?

Pedsgastro Center LLC is registered under the primary taxonomy Pediatrics, Pediatric Gastroenterology (code 2080P0206X), licensed in NJ under license number 25MA08176100.

Where does Pedsgastro Center LLC practice?

The practice location is 2123 Klockner RD, Hamilton, NJ 08690-3417. The office can be reached at 609-586-7337 (phone) or 609-586-7338 (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 1336411958 directly on the NPPES registry website.

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