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JERSEY SHORE MEDICAL AND PEDIATRICS ASSOCIATES,LLC
NPI 1073642401
Internal Medicine - Adolescent Medicine in Lakewood, NJ

Active since March 02, 2007CLIA 31D1040700 · Waiver
1215 HIGHWAY 70, SUITE 1005, LAKEWOOD, NJ 08701(732) 942-0888(732) 942-1230 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jersey Shore Medical And Pediatrics Associates,llc NPPES

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

JERSEY SHORE MEDICAL AND PEDIATRICS ASSOCIATES,LLC (NPI 1073642401) is a healthcare organization registered as an adolescent medicine in Lakewood, New Jersey and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Randy Pablo Talamayan, President, as its authorized official.

NPPES Registry Identity

NPI1073642401
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameJERSEY SHORE MEDICAL AND PEDIATRICS ASSOCIATES,LLC
Location Address1215 HIGHWAY 70, SUITE 1005Lakewood, NJ 08701-5947
Mailing Address1215 Highway 70, Suite 1005Lakewood, NJ 08701-5947 · (732) 942-0888 · Fax (732) 942-1230
Phone(732) 942-0888
Fax(732) 942-1230
Organization SubpartNo
Authorized OfficialRandy Pablo TalamayanPresident · (732) 942-0888
Enumeration DateMarch 2, 2007
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1073642401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in NJ · MA070826
Definition

An internist 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.

1215 HIGHWAY 70, Lakewood, NJ 08701
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH17834NJ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1040700

Jersey Shore Medical & Pediatrics Associates · Lakewood, NJ
Active · expires Mar 6, 2027
CLIA Number31D1040700
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorRandy C. Talamayan
Laboratory Phone(732) 942-0888
Laboratory LocationJersey Shore Medical & Pediatrics Associates1255 Route 70 S-12n, Lakewood, NJ 08701
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

NORTH DOVER OPEN MRI LLC
Clinic/Center (Radiology)
1215 HIGHWAY 70, SUITE 1003
LAKEWOOD, NJ 08701
Ocean County (732) 370-9902
LAKEWOOD TOTAL CARE, P.C.
Chiropractor
1215 HIGHWAY 70, SUITE 1002
LAKEWOOD, NJ 08701
Ocean County (732) 370-9005

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 Jersey Shore Medical And Pediatrics Associates,llc's NPI number?

The NPI number for Jersey Shore Medical And Pediatrics Associates,llc is 1073642401. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Jersey Shore Medical And Pediatrics Associates,llc located?

Jersey Shore Medical And Pediatrics Associates,llc is located at 1215 Highway 70 Suite 1005, Lakewood, NJ 08701. The listed phone number is (732) 942-0888.

What is Jersey Shore Medical And Pediatrics Associates,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Does Jersey Shore Medical And Pediatrics Associates,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1040700) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jersey Shore Medical And Pediatrics Associates,llc was last updated on February 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.