Bayshore Pediatric Association LLC
Organization Active NPI Pediatric Adolescent Medicine Physician · Holmdel, NJ
NPI 1720109952 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720109952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Adolescent Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Duck Engel, M.D.
- Title
- Operating Manager
- Phone
- (732) 888-0010
National Provider Directory
Locations
717 N Beers St
Ste 1C
Holmdel, NJ 07733
Phone (732) 377-2580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician |
2080A0000X | Yes |
Addresses
Primary practice location
717 N Beers St
Suite 1C
Holmdel, NJ 07733-1524
Mailing address
717 N Beers St
Suite 1C
Holmdel, NJ 07733-1524
Phone (732) 888-0010
Other providers in Holmdel, NJ
- Bayshore Health and Wellness LLC
- Bayshore Health Care Center
- Bayshore Hospital
- Bayshore Integrated Physicians Association, P.C.
- Bayshore Ophthalmology, LLC
- Bayshore Rehab Medicine, PC
- Sam T Bebawy
- Mary Elizabeth Beinert
- Florence Belhassen
- Bell Wellness LLC
All providers in Holmdel, 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 Aug 22, 2020. 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.