Rivendell Pediatric And Adolscent Medicine, PC
Pediatrics in Columbus, New Jersey
1497797864- Practice location
- 25 Homestead Dr, Ste H, Columbus, NJ 08022-1005
- Phone
- 609-424-0340
- Fax
- 609-298-7452
- Last updated
- August 22, 2020
Rivendell Pediatric And Adolscent Medicine, PC is a healthcare organization based in Columbus, NJ. Rivendell Pediatric And Adolscent Medicine, PC practices in Columbus, NJ. The NPI Number for Rivendell Pediatric And Adolscent Medicine, PC is 1497797864 and holds a License No. 25MA04122800 (NJ). The current practice location address for Rivendell Pediatric And Adolscent Medicine, PC is 25 Homestead Dr, Ste H, Columbus, NJ 08022-1005 and can be reached out via phone at 609-424-0340 and via fax at 609-298-7452.
Provider Profile Details
- NPI Number
- 1497797864
- Provider Name
- Rivendell Pediatric And Adolscent Medicine, PC
- Provider Entity Type
- Organization
- Address
- 25 Homestead Dr, Ste H, Columbus, NJ 08022-1005
- Phone Number
- 609-424-0340
- Fax Number
- 609-298-7452
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Kenneth Michael Hirsch, MD · Md/Pres · 609-424-0340
- Provider Enumeration Date
- June 12, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Homestead Dr
Ste H
Columbus, NJ 08022-1005 - City
- Columbus
- State
- New Jersey
- Zip
- 08022-1005
- Phone Number
- 609-424-0340
- Fax Number
- 609-298-7452
Provider Business Mailing Address Details
- Address
- 25 Homestead Dr
Ste H
Columbus, NJ 08022-1005 - City
- Columbus
- State
- NJ
- Zip
- 08022-1005
- Phone Number
- 609-424-0340
- Fax Number
- 609-298-7452
License Information
- License Number
- 25MA04122800
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Rivendell Pediatric And Adolscent Medicine, PC?
The NPI number of Rivendell Pediatric And Adolscent Medicine, PC is 1497797864. It was assigned on June 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Rivendell Pediatric And Adolscent Medicine, PC?
Rivendell Pediatric And Adolscent Medicine, PC is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA04122800.
Where does Rivendell Pediatric And Adolscent Medicine, PC practice?
The practice location is 25 Homestead Dr, Ste H, Columbus, NJ 08022-1005. The office can be reached at 609-424-0340 (phone) or 609-298-7452 (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 1497797864 directly on the NPPES registry website.