Active NPIIndividual provider

Pieter J Ketelaar, MD

Obstetrics & Gynecology, Gynecology in Brick, New Jersey

NPI Number1659350189
Practice location
1608 Highway 88, Suite 208, Brick, NJ 08724-3009
Fax
732-840-6378
Last updated
October 13, 2010

Pieter Jan Ketelaar is an Obstetrics & Gynecology, Gynecology based in Brick, NJ. Pieter Jan Ketelaar practices in Brick, NJ and has the professional credentials of MD. The NPI Number for Pieter Jan Ketelaar is 1659350189 and holds a License No. 25MA02713800 (NJ). The current practice location address for Pieter Jan Ketelaar is 1608 Highway 88, Suite 208, Brick, NJ 08724-3009 and can be reached out via phone at 732-458-7878 and via fax at 732-840-6378.

Provider Profile Details

NPI Number
1659350189
Provider Name
Pieter Jan Ketelaar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1608 Highway 88, Suite 208, Brick, NJ 08724-3009
Phone Number
732-458-7878
Fax Number
732-840-6378
Primary Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2006
Last Update Date
October 13, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1608 Highway 88
Suite 208
Brick, NJ 08724-3009
City
Brick
Zip
08724-3009
Phone Number
732-458-7878
Fax Number
732-840-6378
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
1608 Highway 88
Suite 208
Brick, NJ 08724-3009
City
Brick
State
NJ
Zip
08724-3009
Phone Number
732-458-7878
Fax Number
732-840-6378

License Information

License Number
25MA02713800
License State
NJ
Taxonomy
Obstetrics & Gynecology, Gynecology · 207VG0400X · 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 Pieter J Ketelaar, MD?

The NPI number of Pieter J Ketelaar, MD is 1659350189. It was assigned on January 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Pieter J Ketelaar, MD?

Pieter J Ketelaar, MD is registered under the primary taxonomy Obstetrics & Gynecology, Gynecology (code 207VG0400X), licensed in NJ under license number 25MA02713800.

Where does Pieter J Ketelaar, MD practice?

The practice location is 1608 Highway 88, Suite 208, Brick, NJ 08724-3009. The office can be reached at 732-458-7878 (phone) or 732-840-6378 (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 1659350189 directly on the NPPES registry website.

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