Organization · Type 2 NPI

Mystic Island Pediatric Associates, LLC

Medical Specialty Clinic/Center · Little Egg Harbor Township, NJ

NPI number 1679892533 Active

Practice location

1387 Route 539 Unit 2C
Little Egg Harbor Township, NJ 08087-9804

Fax (609) 296-1906

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X25MA05073700 (NJ)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Another provider at this address

About NPI 1679892533

Mystic Island Pediatric Associates, LLC's National Provider Identifier is 1679892533, issued on May 18, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Little Egg Harbor Township, NJ. The record was last updated on Sep 4, 2026.