MID-JERSEY PEDIATRICS, P.A. - NPI 1528158409 - Pediatrics in East Brunswick, NJ

Q: What is East Brunswick Pediatrics Associated's NPI number?

The NPI number for East Brunswick Pediatrics Associated is 1528158409. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Mid-Jersey Pediatrics, P.A..

Q: What is East Brunswick Pediatrics Associated's specialty?

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

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About Mid-jersey Pediatrics, P.a. NPPES

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

MID-JERSEY PEDIATRICS, P.A. (NPI 1528158409) is a healthcare organization registered as an adolescent medicine in East Brunswick, New Jersey and active in the NPI registry since October 2006. The organization lists Colleen L Dougherty, Billing Department, as its authorized official.

NPPES Registry Identity

NPI1528158409

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameEAST BRUNSWICK PEDIATRICS ASSOCIATED

Location Address33 BRUNSWICK WOODS DREast Brunswick, NJ 08816-5601

Mailing Address33 Brunswick Woods DrEast Brunswick, NJ 08816-5601 · (732) 257-4330 · Fax (732) 257-5986

Phone(732) 257-4330

Fax(732) 257-5986

Organization SubpartNo

Authorized OfficialColleen L DoughertyBilling Department · (732) 257-4330

Enumeration DateOctober 13, 2006

Last NPPES UpdateFebruary 17, 2009

✔ NPI 1528158409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

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.

33 BRUNSWICK WOODS DR, East Brunswick, NJ 08816

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Other Names 1

Doing Business AsMid-jersey Pediatrics, P.a.

Other Identifiers 1

Medicaid2838508NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. BORAM SUNG M.D.

Pediatrics (Adolescent Medicine)