Pinelands Pediatric Medicine LLC
Pediatrics in Sicklerville, New Jersey
1790132140- Practice location
- 1303 Liberty Pl, Sicklerville, NJ 08081-5710
- Phone
- 856-885-4854
- Fax
- 856-885-4896
- Last updated
- May 16, 2016
Pinelands Pediatric Medicine LLC is a healthcare organization based in Sicklerville, NJ. Pinelands Pediatric Medicine LLC practices in Sicklerville, NJ. The NPI Number for Pinelands Pediatric Medicine LLC is 1790132140 and holds a License No. 25MB08379900 (NJ). The current practice location address for Pinelands Pediatric Medicine LLC is 1303 Liberty Pl, Sicklerville, NJ 08081-5710 and can be reached out via phone at 856-885-4854 and via fax at 856-885-4896.
Provider Profile Details
- NPI Number
- 1790132140
- Provider Name
- Pinelands Pediatric Medicine LLC
- Provider Entity Type
- Organization
- Address
- 1303 Liberty Pl, Sicklerville, NJ 08081-5710
- Phone Number
- 856-885-4854
- Fax Number
- 856-885-4896
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Sharon Kaus, DO · Owner · 856-885-4854
- Provider Enumeration Date
- May 16, 2016
- Last Update Date
- May 16, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1303 Liberty Pl
Sicklerville, NJ 08081-5710 - City
- Sicklerville
- State
- New Jersey
- Zip
- 08081-5710
- Phone Number
- 856-885-4854
- Fax Number
- 856-885-4896
Provider Business Mailing Address Details
- Address
- 1303 Liberty Pl
Sicklerville, NJ 08081-5710 - City
- Sicklerville
- State
- NJ
- Zip
- 08081-5710
- Phone Number
- 856-885-4854
- Fax Number
- 856-885-4896
License Information
- License Number
- 25MB08379900
- 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 Sicklerville, NJ
View all Pediatrics providers in Sicklerville →Frequently Asked Questions
What is the NPI number of Pinelands Pediatric Medicine LLC?
The NPI number of Pinelands Pediatric Medicine LLC is 1790132140. It was assigned on May 16, 2016 and is currently active in the NPPES registry.
What is the specialty of Pinelands Pediatric Medicine LLC?
Pinelands Pediatric Medicine LLC is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MB08379900.
Where does Pinelands Pediatric Medicine LLC practice?
The practice location is 1303 Liberty Pl, Sicklerville, NJ 08081-5710. The office can be reached at 856-885-4854 (phone) or 856-885-4896 (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 1790132140 directly on the NPPES registry website.