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MONMOUTH PEDIATRIC GROUP, P.A.
NPI 1790726628
Pediatrics in Red Bank, NJ

Active since June 10, 2006CLIA 31D0113586 · Waiver
272 BROAD ST, RED BANK, NJ 07701(732) 741-0456(732) 219-9477 Get Directions Write a Review

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

About Monmouth Pediatric Group, P.a. NPPES

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

MONMOUTH PEDIATRIC GROUP, P.A. (NPI 1790726628) is a healthcare organization registered as a pediatrics in Red Bank, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists William Wassel, Partner, as its authorized official.

NPPES Registry Identity

NPI1790726628
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMONMOUTH PEDIATRIC GROUP, P.A.
Location Address272 BROAD STRed Bank, NJ 07701-2003
Mailing Address272 Broad StRed Bank, NJ 07701-2003 · (732) 741-0456 · Fax (732) 219-9477
Phone(732) 741-0456
Fax(732) 219-9477
Organization SubpartNo
Authorized OfficialWilliam WasselPartner · (732) 741-0456
Enumeration DateJune 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790726628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
272 BROAD ST, Red Bank, NJ 07701
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Other Identifiers 1

Medicaid2661004NJ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0113586

Monmouth Pediatric Group · Red Bank, NJ
Active · expires Feb 4, 2028
CLIA Number31D0113586
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorJoann Jordan
Laboratory Phone(732) 741-0456
Laboratory LocationMonmouth Pediatric Group272 Broad St, Red Bank, NJ 07701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

ELISA M CLARK LCSW
Social Worker (Clinical)
272 BROAD ST
RED BANK, NJ 07701
Monmouth County (732) 747-7665
DR. MICHELLE BADORF LITSKY D.O.
Pediatrics
272 BROAD ST
RED BANK, NJ 07701
Monmouth County (732) 741-0456
DANA HOLBROOK LCSW
Social Worker (Clinical)
272 BROAD ST
RED BANK, NJ 07701
Monmouth County (732) 747-7665
MOLLY ELIZABETH LEACH LSW
Social Worker
272 BROAD ST
RED BANK, NJ 07701
Monmouth County (732) 747-7665
DR. JO-ANN JORDAN M.D., FAAP
Pediatrics
272 BROAD ST
RED BANK, NJ 07701
Monmouth County (732) 741-0456
DONNA GALLAGHER M.S., R.D.
Dietitian, Registered
272 BROAD ST, 2ND FLOOR
RED BANK, NJ 07701
Monmouth County (732) 747-3663
DR. THERESA ANN PALADINO D.O.
Pediatrics
272 BROAD ST
RED BANK, NJ 07701
Monmouth County (732) 741-0456
MARNIE FEGAN, PSY.D., P.C.
Psychologist (Clinical)
272 BROAD ST, 2ND FLOOR
RED BANK, NJ 07701
Monmouth County (732) 747-7665

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 Monmouth Pediatric Group, P.A.'s NPI number?

The NPI number for Monmouth Pediatric Group, P.A. is 1790726628. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Monmouth Pediatric Group, P.A. located?

Monmouth Pediatric Group, P.A. is located at 272 Broad St, Red Bank, NJ 07701. The listed phone number is (732) 741-0456.

What is Monmouth Pediatric Group, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Monmouth Pediatric Group, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0113586) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Monmouth Pediatric Group, P.A. 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.