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SOUTH CAROLINA
NPI 1710404454
Pediatrics - Neonatal-Perinatal Medicine in Voorhees, NJ

Active since August 24, 2017
1000 HADDONFIELD BERLIN ROAD, SUITE 210, VOORHEES, NJ 08043(856) 782-2212(856) 782-2218 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 24, 2017 (2 updates tracked since 2017).

About South Carolina NPPES

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

SOUTH CAROLINA (NPI 1710404454) is a healthcare organization registered as a neonatal-perinatal medicine in Voorhees, New Jersey and active in the NPI registry since August 2017. The organization lists Kelly Jack, Ar Technical Manager, as its authorized official.

NPPES Registry Identity

NPI1710404454
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameONSITE NEONATAL PC
Location Address1000 HADDONFIELD BERLIN ROAD, SUITE 210Voorhees, NJ 08043-3520
Mailing Address1000 Haddonfield Berlin Rd Ste 210Voorhees, NJ 08043-3520 · (856) 782-2212 · Fax (856) 782-2218
Phone(856) 782-2212
Fax(856) 782-2218
Organization SubpartYes
Authorized OfficialKelly JackAr Technical Manager · (856) 782-2212
Enumeration DateAugust 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1710404454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1000 HADDONFIELD BERLIN ROAD, Voorhees, NJ 08043
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Other Names 1

Doing Business AsSouth Carolina

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

Frequently Asked Questions

What is ONSITE NEONATAL PC's NPI number?

The NPI number assigned to this healthcare provider is 1710404454, enumerated as an "organization" on August 24, 2017.

Where is the provider located?

The provider is located at 1000 HADDONFIELD BERLIN ROAD SUITE 210 VOORHEES, NJ 08043 and the phone number is (856) 782-2212.

What is the provider's specialty?

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.