Bayshore Pediatric Association LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

BAYSHORE PEDIATRIC ASSOCIATION LLC

Practice address

717 N Beers St
Suite 1C
Holmdel, NJ 07733-1524

Phone

(732) 888-0010

Fax

(732) 888-0012

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Duck Engel, M.D.

Title

Operating Manager

Phone

(732) 888-0010

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720109952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "address_2": "SUITE 1C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-888-0010",
            "fax_number": "732-888-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "address_2": "SUITE 1C",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-888-0010",
            "fax_number": "732-888-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE PEDIATRIC ASSOCIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DUCK",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "732-888-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayshore Health and Wellness LLC
• Bayshore Health Care Center (The Willows at Holmdel)
• Bayshore Hospital
• Bayshore Integrated Physicians Association, P.C.
• Bayshore Ophthalmology, LLC
• Bayshore Rehab Medicine, PC
• Sam T Bebawy, MD FCCP
• Becerra Wellness LLC
• Mary Elizabeth Beinert, LPN
• Florence Belhassen, AU.D

• Pediatric Adolescent Medicine Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.