Candlewood Pediatrics
Organization Active NPI Pediatrics Physician · Wall, NJ
NPI 1134545429 · NPPES record last updated Apr 4, 2014
Key facts
- NPI
- 1134545429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 25MA06638500 (NJ)
- Legal business name
- CANDLEWOOD PEDIATRICS
- Practice address
- 1540 Hwy. 138
Suite 105
Wall, NJ 07719 - Phone
- (732) 280-3100
- Fax
- (732) 280-3103
- NPI assigned
- Mar 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Tatyana Shkolnaya, M.D.
- Title
- Proprietor/Medical Doctor
- Phone
- (732) 280-3100
Practitioners 1
-
Tatyana Shkolnaya, M.D.
National Provider Directory
Locations
1540 Highway 138
Ste 105
Wall, NJ 07719
Phone (732) 280-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | 25MA06638500 | NJ | Yes |
Addresses
Primary practice location
1540 Hwy. 138
Suite 105
Wall, NJ 07719
Mailing address
1540 Hwy. 138
Suite 105
Wall, NJ 07719
Phone (732) 280-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497729842 | Other | NJ | NPI |
Other names
- TATYANA SHKOLNAYA
Other providers in Wall, NJ
- Savji L Bhatiya
- Maryann Bock
- Indira Bollampally
- Bryk Counseling LLC
- Hannah Campbell
- Care One at Wall, LLC
- Carisk Specialty Services, LLC
- Alan A Cavaiola
- Augusto Caesar Cespedes Jr.
- Tiffany Cherry
All providers in Wall, NJ · Pediatrics Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.