Active NPIOrganization

Lakewood Children'S Clinic LLC

Clinic/Center in Manchester, New Jersey

NPI Number1952175614
Practice location
8 Laketree CT, Manchester, NJ 08759-5679
Fax
—
Last updated
November 13, 2023

Lakewood Children'S Clinic LLC is a healthcare organization based in Manchester, NJ. Lakewood Children'S Clinic LLC practices in Manchester, NJ. The NPI Number for Lakewood Children'S Clinic LLC is 1952175614. The current practice location address for Lakewood Children'S Clinic LLC is 8 Laketree CT, Manchester, NJ 08759-5679 and can be reached out via phone at 917-957-2273.

Provider Profile Details

NPI Number
1952175614
Provider Name
Lakewood Children'S Clinic LLC
Provider Entity Type
Organization
Address
8 Laketree CT, Manchester, NJ 08759-5679
Phone Number
917-957-2273
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Michael Tyberg, MD · Owner · 917-957-2273
Provider Enumeration Date
November 13, 2023
Last Update Date
November 13, 2023
Certification Date
November 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Laketree CT
Manchester, NJ 08759-5679
Zip
08759-5679
Phone Number
917-957-2273
Manchester, NJ 08759Get directions →

Provider Business Mailing Address Details

Address
8 Laketree CT
Manchester, NJ 08759-5679
City
Manchester
State
NJ
Zip
08759-5679
Phone Number
917-957-2273

License Information

Taxonomy
Clinic/Center · 261Q00000X · 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 Lakewood Children'S Clinic LLC?

The NPI number of Lakewood Children'S Clinic LLC is 1952175614. It was assigned on November 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Lakewood Children'S Clinic LLC?

Lakewood Children'S Clinic LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X).

Where does Lakewood Children'S Clinic LLC practice?

The practice location is 8 Laketree CT, Manchester, NJ 08759-5679. The office can be reached at 917-957-2273 (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 1952175614 directly on the NPPES registry website.

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