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SON LIGHT PEDIATRICS PC
NPI 1790805869
Pediatrics - Adolescent Medicine in Willingboro, NJ

Active since March 30, 2007
621 BEVERLY RANCOCAS RD, SUITE 2D EAST RIDGE PLAZA, WILLINGBORO, NJ 08046(609) 877-6800 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Son Light Pediatrics Pc NPPES

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

SON LIGHT PEDIATRICS PC (NPI 1790805869) is a healthcare organization registered as an adolescent medicine in Willingboro, New Jersey and active in the NPI registry since March 2007. The organization lists Leah A Willis, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1790805869
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSON LIGHT PEDIATRICS PC
Location Address621 BEVERLY RANCOCAS RD, SUITE 2D EAST RIDGE PLAZAWillingboro, NJ 08046-3727
Mailing Address621 Beverly Rancocas Rd, Suite 2d East Ridge PlazaWillingboro, NJ 08046-3727 · (609) 877-6800
Phone(609) 877-6800
Organization SubpartNo
Authorized OfficialLeah A WillisPractice Administrator · (609) 877-6800
Enumeration DateMarch 30, 2007
Last NPPES UpdateNovember 9, 2011
✔ NPI 1790805869 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.

621 BEVERLY RANCOCAS RD, Willingboro, NJ 08046
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Other Identifiers 1

Medicaid8739404NJ

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

Other Providers at the Same Location NPPES 4

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

ODETTE MARIE COHEN-MARTIN MD
Pediatrics
621 BEVERLY RANCOCAS RD, SUITE 2D EAST RIDGE PLAZA
WILLINGBORO, NJ 08046
Burlington County (609) 877-6800
MRS. HEATHER JEAN WADEHRA RN, APN-C
Nurse Practitioner (Pediatrics)
621 BEVERLY RANCOCAS RD
WILLINGBORO, NJ 08046
Burlington County (609) 877-6800
MRS. VICKY BOWSER APN
Nurse Practitioner (Pediatrics)
621 BEVERLY RANCOCAS RD, SUITE 2D
WILLINGBORO, NJ 08046
Burlington County (609) 877-6800
MRS. RANDI ROSEN-KAMEN CPNP
Nurse Practitioner (Pediatrics)
621 BEVERLY RANCOCAS RD
WILLINGBORO, NJ 08046
Burlington County (609) 877-6800

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 Son Light Pediatrics PC's NPI number?

The NPI number for Son Light Pediatrics PC is 1790805869. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Son Light Pediatrics PC located?

Son Light Pediatrics PC is located at 621 Beverly Rancocas Rd Suite 2D East Ridge Plaza, Willingboro, NJ 08046. The listed phone number is (609) 877-6800.

What is Son Light Pediatrics PC'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 Son Light Pediatrics PC was last updated on November 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.