Allyson Agathis, MD
Individual provider Active NPI Pediatric Adolescent Medicine Physician · Bedminster, NJ
NPI 1487748513 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487748513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- MA53611 (NJ)
- Practice address
- 395 Main St
Bedminster, NJ 07921-2603 - Phone
- (908) 719-2626
- Fax
- (908) 719-2671
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA53611 | NJ | MD | Pediatric Adolescent Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MA53611 | NJ | Yes |
Addresses
Primary practice location
395 Main St
Bedminster, NJ 07921-2603
Mailing address
395 Main St
Bedminster, NJ 07921-2603
Phone (908) 719-2626
Other providers in Bedminster, NJ
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- Altman Counseling LLC
- Alexander Harris Anastasiou
- Ancient Wisdom, Modern Solutions
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All providers in Bedminster, NJ · Pediatric Adolescent Medicine 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 Jul 8, 2007. 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.