Healthcare Provider Details

I. General information

NPI: 1437627023
Provider Name (Legal Business Name): POINT PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROUTE 88 STE 3
POINT PLEASANT BORO NJ
08742-4085
US

IV. Provider business mailing address

1854 RIVIERA PKWY
POINT PLEASANT BORO NJ
08742-5246
US

V. Phone/Fax

Practice location:
  • Phone: 732-714-1414
  • Fax: 732-714-9664
Mailing address:
  • Phone: 732-908-9888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA RACHEL WOOD
Title or Position: OWNER
Credential: DO
Phone: 732-908-9888