PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1053461855
Pediatrics - Adolescent Medicine in West Long Branch, NJ

Active since January 12, 2007
223 MONMOUTH RD, WEST LONG BRANCH, NJ 07764(732) 229-4540(732) 229-8689 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric And Adolescent Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC AND ADOLESCENT MEDICINE (NPI 1053461855) is a healthcare organization registered as an adolescent medicine in West Long Branch, New Jersey and active in the NPI registry since January 2007. The organization lists Maureen E Kingsley, Office Mng, as its authorized official.

NPPES Registry Identity

NPI1053461855
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC AND ADOLESCENT MEDICINE
Location Address223 MONMOUTH RDWest Long Branch, NJ 07764-1029
Mailing Address223 Monmouth RdWest Long Branch, NJ 07764-1029 · (732) 229-4540 · Fax (732) 229-8689
Fax(732) 229-8689
Organization SubpartNo
Authorized OfficialMaureen E KingsleyOffice Mng · (732) 229-4540
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1053461855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses Licensed in NJ · MA37398 Licensed in NJ · MA040400
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

223 MONMOUTH RD, West Long Branch, NJ 07764

Other Identifiers 2

Medicaid2003201NJ
Medicaid0238201NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
223 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Audiologist-Hearing Aid Fitter
223 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Internal Medicine
223 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Dermatology
223 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Audiologist
223 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Pediatrics
223 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Internal Medicine
223 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Dentist (General Practice)
223 MONMOUTH RD
W LONG BRANCH, NJ 07764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric And Adolescent Medicine's NPI number?

The NPI number for Pediatric And Adolescent Medicine is 1053461855. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Pediatric And Adolescent Medicine located?

Pediatric And Adolescent Medicine is located at 223 Monmouth Rd, West Long Branch, NJ 07764. The listed phone number is (732) 229-4540.

What is Pediatric And Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Pediatric And Adolescent Medicine was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.