PEDIATRIC AND ADOLESCENT MEDICINE (NPI# 1053461855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053461855 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND ADOLESCENT MEDICINE |
| Practice Address |
223 Monmouth Rd West Long Branch NJ 07764-1029 |
| Practice Telephone | 7322294540 |
| Practice Fax Number | 7322298689 |
| Mailing Telephone | 7322294540 |
| Mailing Fax Number | 7322298689 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MAUREEN E KINGSLEY (OFFICE MNG) |
| Authorized Official Telephone | 7322294540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MA040400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MA37398 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2003201 | 05 | |
| NJ | 0238201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235350786 | Pediatric and Adolescent Medicine | Pediatrics | 1102 Brookfield Road, 2nd Floor, Memphis, TN 38119 | 2007-05-01 |
| 1073612768 | Pediatric and Adolescent Medicine | Pediatrics | 390 W End Ave, New York, NY 10024-6107 | 2006-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PEDIATRIC AND ADOLESCENT MEDICINE, L.L.P. | 390 West End Ave, 1e, New York, Ny 10024 |
| Connecticut Business Registrations | PEDIATRIC AND ADOLESCENT MEDICINE, LLC | 257 East Center St, Manchester, CT 06040 |
| Street Address |
223 MONMOUTH RD |
| City | WEST LONG BRANCH |
| State | NJ |
| Zip Code | 07764-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863354 | Gerald Norman Goldsmith | Podiatrist | 223 Monmouth Rd, Suite 2d, West Long Branch, NJ 07764-1029 | 2005-12-26 |
| 1063048734 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2020-03-13 |
| 1528562675 | Christine Marie Brown | Nurse Practitioner | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2018-03-22 |
| 1174874747 | Sandra Fields Kuhn Aud | Audiologist-Hearing Aid Fitter | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2012-09-24 |
| 1831219682 | Cynthia Joyce Burden-wells | Speech-Language Pathologist | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2007-03-29 |
| 1750498556 | Robert Dennis Murphy | Pediatrics | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2006-08-25 |
| 1538107966 | Sandra Fields Kuhn | Audiologist | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2006-06-04 |
| 1134170608 | William J Orsini | Dermatology | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2006-05-12 |
| 1376594853 | Angela M Miller | Dermatology | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2006-05-12 |
| 1952351181 | Orsini, Gilson & Miller Md, PC | Dermatology | 223 Monmouth Rd, West Long Branch, NJ 07764-1029 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659854461 | Melanie Ramp | Nurse Practitioner | 100 Route 36, Suite 2k Vantage Point Bldg, West Long Branch, NJ 07764 | 2018-09-08 |
| 1154849750 | Rosbel Maria Puello | Counselor | 232 Norwood Avenue Building #2, West Long Branch, NJ 07764 | 2017-09-03 |
| 1821445594 | Jsr Medical Services LLC | Clinic/Center | 214 State Highway 36, Suite 5, West Long Branch, NJ 07764 | 2016-05-23 |
| 1265831259 | Allied Digestive Health, LLC | Anesthesiology | 187 Route 36, Monmouth Corporate Park Center I;building A, Suite 230, West Long Beach, NJ 07764 | 2014-08-15 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1336485309 | Christopher Ralph Castellano | Physician Assistant | Afc Urgent Care, 214 State Highway 36, West Long Beach, NJ 07764 | 2012-12-19 |
| 1457687337 | Danielle Monti Pfeiffer | Counselor | 232 Norwood Avenue, Building 2, West Long Branch, NJ 07764 | 2009-10-27 |
| 1770741084 | Subha Sundararajan | Internal Medicine | 60 Highway 35, Suite B, West Long Branch, NJ 07764 | 2008-05-23 |
| 1033376157 | Alexander G Lasalle | Social Worker | 24 Walnut Place, West Long Branch, NJ 07764 | 2008-05-16 |
| 1962610485 | Richard Dean Isaacson | Dentist | 103 Parker Road, West Long Branch, NJ 07764 | 2007-05-18 |
| Find all providers in zip 07764 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1104228139 | Joyce Diane Moscaritola | Pediatrics | 6 Castle Court, Randolph, NJ 07869 | 2014-09-22 |
| 1326397803 | Amy Bailon | Pediatrics | 21 Woodbine Rd, Florham Park, NJ 07932-2649 | 2012-08-30 |
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1174789515 | Gerald Martin Klein | Pediatrics | 131 Spinnaker Way, Neptune, NJ 07753-5231 | 2008-08-05 |
| 1043474760 | Amj Pediatrics & Associates | Pediatrics | 18 Morris Ave, #2a, Springfield, NJ 07081-1457 | 2008-07-11 |
| 1033376041 | Deena Rachel Zimmerman | Pediatrics | 1020 Phelps Rd, Teaneck, NJ 07666-5625 | 2008-05-19 |
| 1265605919 | Susan Eleanor Skalsky Bales | Pediatrics | 31 Gladding Road, Caldwell, NJ 07006-5804 | 2008-04-02 |
| 1598944415 | Hanna Gebre Medhin | Pediatrics | 10a W Railroad Ave, Jamesburg, NJ 08831-6783 | 2007-10-26 |
| 1669664298 | Rebecca Perril | Pediatrics | 4000 Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST LONG BRANCH |
| Zip Code | 07764 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.