Active NPI
Norman Indich MD, LLC
- Pediatrics Physician
- Lakewood, NJ
National Provider Identifier
1962655472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NORMAN INDICH MD, LLC
- Practice address
- 603 W County Line Rd
Lakewood, NJ 08701-1216 - Phone
- (732) 730-9111
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Norman Indich
- Title
- Owner
- Phone
- (732) 730-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
603 W County Line Rd
Lakewood, NJ 08701-1216
Mailing address
603 W County Line Rd
Lakewood, NJ 08701-1216
Phone (732) 730-9111
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1962655472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 W COUNTY LINE RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011216",
"telephone_number": "732-730-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W COUNTY LINE RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011216",
"telephone_number": "732-730-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN INDICH MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "INDICH",
"authorized_official_first_name": "NORMAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-730-9111",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.