Provider Demographics
NPI:1245382555
Name:HORIZON PEDIATRIC SYSTEMS INC.
Entity Type:Organization
Organization Name:HORIZON PEDIATRIC SYSTEMS INC.
Other - Org Name:MERCER COUNTY CHILDREN'S MEDICAL DAYCARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-298-5991
Mailing Address - Street 1:56 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-2405
Mailing Address - Country:US
Mailing Address - Phone:609-298-5991
Mailing Address - Fax:609-298-5992
Practice Address - Street 1:100 YOUNGS RD
Practice Address - Street 2:SUITE 6
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1025
Practice Address - Country:US
Practice Address - Phone:609-631-9340
Practice Address - Fax:609-631-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ478311261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0002267Medicaid