Provider Demographics
NPI:1114971561
Name:HAMILTON PEDIATRIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:HAMILTON PEDIATRIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:609-581-4480
Mailing Address - Street 1:3 HAMILTON HEALTH PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-581-4480
Mailing Address - Fax:609-581-5222
Practice Address - Street 1:3 HAMILTON HEALTH PL
Practice Address - Street 2:SUITE A
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-581-4480
Practice Address - Fax:609-581-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0884901Medicaid
NJ6373607Medicaid
NJ0256200Medicaid
NJ2528100Medicaid
NJ5393400Medicaid
NJ7446900Medicaid
NJ8017701Medicaid