Provider Demographics
NPI:1457571150
Name:ALPERT,ZALES AND CASTRO PEDIATRIC CARDIOLOGY, PA
Entity Type:Organization
Organization Name:ALPERT,ZALES AND CASTRO PEDIATRIC CARDIOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHEL
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-458-9666
Mailing Address - Street 1:PO BOX 1719
Mailing Address - Street 2:1623 ROUTE 88 WEST SUITE A
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-1064
Mailing Address - Country:US
Mailing Address - Phone:732-458-9666
Mailing Address - Fax:732-458-0840
Practice Address - Street 1:1623 ROUTE 88
Practice Address - Street 2:SUITE A
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3048
Practice Address - Country:US
Practice Address - Phone:732-458-9666
Practice Address - Fax:732-458-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7212305Medicaid