1. Home
  2. Directory
  3. New Jersey
  4. Little Egg Harbor Twp
  5. Clinic Center
  6. NPI Profile

MYSTIC ISLAND PEDIATRIC ASSOCIATES, LLC
NPI 1679892533
Clinic/Center - Medical Specialty in Little Egg Harbor Twp, NJ

Active since May 18, 2010
104 E ANCHOR DR, LITTLE EGG HARBOR TWP, NJ 08087(609) 294-5500(609) 294-5700 Get Directions Write a Review

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

About Mystic Island Pediatric Associates, Llc NPPES

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

MYSTIC ISLAND PEDIATRIC ASSOCIATES, LLC (NPI 1679892533) is a healthcare organization registered as a medical specialty in Little Egg Harbor Twp, New Jersey and active in the NPI registry since May 2010. The organization lists Gene Chiu Lee, Vp, as its authorized official.

NPPES Registry Identity

NPI1679892533
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMYSTIC ISLAND PEDIATRIC ASSOCIATES, LLC
Location Address104 E ANCHOR DRLittle Egg Harbor Twp, NJ 08087-1643
Mailing Address104 E Anchor DrLittle Egg Harbor Twp, NJ 08087-1643 · (609) 294-5500 · Fax (609) 294-5700
Phone(609) 294-5500
Fax(609) 294-5700
Organization SubpartNo
Authorized OfficialGene Chiu LeeVp · (609) 294-5500
Enumeration DateMay 18, 2010
✔ NPI 1679892533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NJ · 25MA05073700
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

104 E ANCHOR DR, Little Egg Harbor Twp, NJ 08087
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MYSTIC ISLAND PEDIATRICS PA
Preferred Provider Organization
104 E ANCHOR DR
LITTLE EGG HARBOR, NJ 08087
Ocean County (609) 294-5500

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 Mystic Island Pediatric Associates, LLC's NPI number?

The NPI number for Mystic Island Pediatric Associates, LLC is 1679892533. It was assigned to this organization in the NPPES registry on May 18, 2010.

Where is Mystic Island Pediatric Associates, LLC located?

Mystic Island Pediatric Associates, LLC is located at 104 E Anchor Dr, Little Egg Harbor Twp, NJ 08087. The listed phone number is (609) 294-5500.

What is Mystic Island Pediatric Associates, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Mystic Island Pediatric Associates, LLC was last updated on May 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.