Provider Demographics
NPI:1457516080
Name:DR. RITA PEDIATRICS, PC
Entity Type:Organization
Organization Name:DR. RITA PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUISA
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:DEL CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FAAP
Authorized Official - Phone:732-530-5515
Mailing Address - Street 1:530 PROSPECT AVE
Mailing Address - Street 2:BLDG 2 SUITE A
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1445
Mailing Address - Country:US
Mailing Address - Phone:732-530-5515
Mailing Address - Fax:732-530-5516
Practice Address - Street 1:530 PROSPECT AVE
Practice Address - Street 2:BLDG 2 SUITE A
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1444
Practice Address - Country:US
Practice Address - Phone:732-530-5515
Practice Address - Fax:732-530-5516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05379300208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty