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Contact Information

PEDIATRIC MEDICAL GROUP OF CENTRAL JERSEY
525 JACK MARTIN BLVD
SUITE 102
BRICK, NJ08724
 Phone: 732-458-1177
 Fax: 732-458-5942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC MEDICAL GROUP OF CENTRAL JERSEY

NPI # 1306949508
LBN Legal business name PEDIATRIC MEDICAL GROUP OF CENTRAL JERSEY
Authorized official LIONEL FOZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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