SOUTH JERSEY PEDIATRIC ENDOCRINOLOGY, LLC (NPI# 1932346269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932346269 |
| Entity Type | Organization |
| Organization Name | SOUTH JERSEY PEDIATRIC ENDOCRINOLOGY, LLC |
| Other Organization Name | NONE |
| Practice Address |
6712 Washington Ave Suite 203 Egg Harbor Twp NJ 08234-1999 |
| Practice Telephone | 6092040698 |
| Practice Fax Number | 6092723099 |
| Mailing Telephone | 6092040698 |
| Mailing Fax Number | 6092723099 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | DR. AUGUSTINE O CHIKEZIE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6092040698 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
25MA05978100 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7848803 | 05 |
| Other Name | Type Code |
|---|---|
| None | Doing Business As Name - Organization |
| Street Address |
6712 WASHINGTON AVE SUITE 203 |
| City | EGG HARBOR TWP |
| State | NJ |
| Zip Code | 08234-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669562393 | Augustine O. Chikezie | Pediatrics | 6712 Washington Ave, Suite 203, Egg Harbor Twp, NJ 08234-1999 | 2006-10-13 |
| 1083880223 | Sleepcare Center, Inc. | Specialist | 6712 Washington Ave, Egg Harbor Twp, NJ 08234-1999 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073007928 | Black Horse Alr LLC | Clinic/Center | 6817 Black Horse Pike, Egg Harbor Township, NJ 08234 | 2018-06-14 |
| 1548762016 | Rebecca Flanigan | Dietitian, Registered | 2500 English Creek Ave. Building 800, Egg Harbor Township, NJ 08234 | 2018-03-01 |
| 1386164143 | Community Quest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Apartment 312 400 Manor Drive, Absecon, NJ 08234 | 2017-06-22 |
| 1639607740 | Swarnalata Debbarma | Psychiatry & Neurology | Atlanticare Behavioral Health, Inc, Egg Harbor Twp., NJ 08234 | 2017-06-02 |
| 1164956751 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Waverly Road, Cardiff, NJ 08234 | 2017-04-20 |
| 1417481003 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 409 Dogwood Lane, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1073047668 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Stone Mill Court, Egg Harbor Township, NJ 08234 | 2017-04-20 |
| 1831623412 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Springfield Avenue, Mc Kee City, NJ 08234 | 2017-04-20 |
| 1821453234 | Community Quest | Respite Care | 6814 Tilton Road, Egg Harbor Township, NJ 08234 | 2015-12-30 |
| 1023481074 | Caringhouse Projects, Inc | Respite Care | 15 Erma Drive, Egg Harbor Township, NJ 08234 | 2015-11-12 |
| Find all providers in zip 08234 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811326572 | St. Francis Center for Digestive Diseases, LLC | Clinic/Center | 2275 Whitehorse Mercerville Rd, Suite 2, Trenton, NJ 08619-2643 | 2013-11-04 |
| 1902836299 | Morristown Surgical Ctr. @ Madison Ave. LLC | Clinic/Center | 111 Madison Ave, Suite 401, Morristown, NJ 07960-6097 | 2006-07-03 |
| 1609803204 | Affiliated Endoscopy Services of Clifton LLC | Clinic/Center | 925 Clifton Ave, Suite 100, Clifton, NJ 07013-2724 | 2006-06-27 |
| 1265468128 | Advanced Gastroenterology of Bergen County, P.a. | Clinic/Center | 140 Sylvan Avenue, Suite 101b, Englewood Cliffs, NJ 07632-2514 | 2006-06-23 |
| 1710948302 | Endoscopy Center of Red Bank Pa | Clinic/Center | 365 Broad St, Red Bank, NJ 07701-2150 | 2006-03-31 |
| 1881692036 | Saint Barnabas Outpatient Centers | Clinic/Center | 200 S Orange Ave, Livingston, NJ 07039-5817 | 2005-07-12 |
| City | EGG HARBOR TWP |
| Zip Code | 08234 |
Please comment or provide details below to improve the information on SOUTH JERSEY PEDIATRIC ENDOCRINOLOGY, LLC.
| 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.