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BAYSHORE PEDIATRIC ASSOCIATION LLC
NPI 1720109952
Pediatrics - Adolescent Medicine in Holmdel, NJ

Active since April 03, 2007
717 N BEERS ST, SUITE 1C, HOLMDEL, NJ 07733(732) 888-0010(732) 888-0012 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bayshore Pediatric Association Llc NPPES

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

BAYSHORE PEDIATRIC ASSOCIATION LLC (NPI 1720109952) is a healthcare organization registered as an adolescent medicine in Holmdel, New Jersey and active in the NPI registry since April 2007. The organization lists Jennifer Duck Engel, Operating Manager, as its authorized official.

NPPES Registry Identity

NPI1720109952
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameBAYSHORE PEDIATRIC ASSOCIATION LLC
Location Address717 N BEERS ST, SUITE 1CHolmdel, NJ 07733-1524
Mailing Address717 N Beers St, Suite 1cHolmdel, NJ 07733-1524 · (732) 888-0010 · Fax (732) 888-0012
Phone(732) 888-0010
Fax(732) 888-0012
Organization SubpartNo
Authorized OfficialJennifer Duck EngelOperating Manager · (732) 888-0010
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720109952 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.
717 N BEERS ST, Holmdel, NJ 07733
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. VERONICA R WOLF DPM
Podiatrist (Foot & Ankle Surgery)
717 N BEERS ST, SUITE 1-D
HOLMDEL, NJ 07733
Monmouth County (732) 888-1003
NIRMALA DEVI SANAKKAYALA M.D.
Obstetrics & Gynecology
717 N BEERS ST, SUITE 2F
HOLMDEL, NJ 07733
Monmouth County (732) 264-3442
MRS. EILEEN MARY GAVIN FNP-BC
Nurse Practitioner (Family)
717 N BEERS ST, #1C
HOLMDEL, NJ 07733
Monmouth County (732) 888-0010
GEORGIOS GIANNAKOPOULOS DO
Internal Medicine (Infectious Disease)
717 N BEERS ST, SUITE 2E
HOLMDEL, NJ 07733
Monmouth County (732) 735-8237
DR. ELLEN ADAMOYURKA PH.D., PSY.D.
Psychologist
717 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (732) 264-2440
NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Podiatrist (Foot & Ankle Surgery)
717 N BEERS ST, SUITE 1D
HOLMDEL, NJ 07733
Monmouth County (732) 888-1003
KATHERINE CLEMENTE FNP-BC, MSN, RN, BSN
Nurse Practitioner (Family)
717 N BEERS ST, SUITE 2D
HOLMDEL, NJ 07733
Monmouth County (732) 203-9680
DR. NIRANJAN SHAH M.D.
Internal Medicine (Cardiovascular Disease)
717 N BEERS ST
HOLMDEL, NJ 07733
Monmouth County (732) 264-0210

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 Bayshore Pediatric Association LLC's NPI number?

The NPI number for Bayshore Pediatric Association LLC is 1720109952. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Bayshore Pediatric Association LLC located?

Bayshore Pediatric Association LLC is located at 717 N Beers St Suite 1C, Holmdel, NJ 07733. The listed phone number is (732) 888-0010.

What is Bayshore Pediatric Association LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bayshore Pediatric Association LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.