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

Q: 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.

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: August 16, 2026.

On this page

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.