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
- Last updated
- Jan 8, 2026
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Lakewood, NJ
- NPI 1427005602
NPI 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.