Mystic Island Pediatrics PA
Preferred Provider Organization in Little Egg Harbor, New Jersey
1801951892- Practice location
- 104 E Anchor Dr, Little Egg Harbor, NJ 08087-1643
- Phone
- 609-294-5500
- Fax
- —
- Last updated
- August 22, 2020
Mystic Island Pediatrics PA is a healthcare organization based in Little Egg Harbor, NJ. Mystic Island Pediatrics PA practices in Little Egg Harbor, NJ. The NPI Number for Mystic Island Pediatrics PA is 1801951892. The current practice location address for Mystic Island Pediatrics PA is 104 E Anchor Dr, Little Egg Harbor, NJ 08087-1643 and can be reached out via phone at 609-294-5500.
Provider Profile Details
- NPI Number
- 1801951892
- Provider Name
- Mystic Island Pediatrics PA
- Provider Entity Type
- Organization
- Address
- 104 E Anchor Dr, Little Egg Harbor, NJ 08087-1643
- Phone Number
- 609-294-5500
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Arlene Hopkins · Office Manager · 609-294-5500
- Provider Enumeration Date
- December 27, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 104 E Anchor Dr
Little Egg Harbor, NJ 08087-1643 - State
- New Jersey
- Zip
- 08087-1643
- Phone Number
- 609-294-5500
Provider Business Mailing Address Details
- Address
- 104 E Anchor Dr
Little Egg Harbor, NJ 08087-1643 - City
- Little Egg Harbor
- State
- NJ
- Zip
- 08087-1643
- Phone Number
- 609-294-5500
License Information
- Taxonomy
- Preferred Provider Organization · 305R00000X · 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 Mystic Island Pediatrics PA?
The NPI number of Mystic Island Pediatrics PA is 1801951892. It was assigned on December 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Mystic Island Pediatrics PA?
Mystic Island Pediatrics PA is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X).
Where does Mystic Island Pediatrics PA practice?
The practice location is 104 E Anchor Dr, Little Egg Harbor, NJ 08087-1643. The office can be reached at 609-294-5500 (phone).
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 1801951892 directly on the NPPES registry website.