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Contact Information

NEXT WAVE PEDIATRIC ENT LLC
1940 ROUTE 70 E STE 1
CHERRY HILL, NJ08003-2141
 Phone: 609-696-5929
 Fax: 609-696-5619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for NEXT WAVE PEDIATRIC ENT LLC

NPI # 1831911395
LBN Legal business name NEXT WAVE PEDIATRIC ENT LLC
Authorized official RYAN WALKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2024
Last updated 05/01/2025 - More than a year ago
Identifiers
NJ Medicaid 0514390
NJ Other 25MA09871200 NEW JERSEY BOARD OF MEDICAL EXAMINERS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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