HOLMDEL PEDIATRICS, LLC – NPI #1760618383
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

HOLMDEL PEDIATRICS, LLC is a provider located in HOLMDEL, NJ. NPPES has assigned the NPI number 1760618383 to HOLMDEL PEDIATRICS, LLC on June 10, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HOLMDEL PEDIATRICS, LLC below.

NPI Profile for
HOLMDEL PEDIATRICS, LLC

NPI Number
1760618383
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HOLMDEL PEDIATRICS, LLC
Primary location
719 N BEERS ST
SUITE 1E
HOLMDEL, NJ 07733-1522
Phone: (732) 290-1063 Fax: (732) 739-9537
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SOWMINI KOMMIREDDI
PRESIDENT
Phone: (732) 290-1063
Updated
Identifiers

Identifiers for HOLMDEL PEDIATRICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPINJ1518064260
OTHERNPINJ1154462604
MEDICAIDNJ9078502
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080A0000X
- Pediatrics / Adolescent Medicine (Primary)		 NJ 25MA073809

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.