# MERIDIAN PEDIATRIC SURGICAL ASSOCIATES, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699937961
- **Authorized official:** JAMES CLARKE MD (DIRECTOR)
- **Authorized official phone:** (732) 974-8404

## Contact information

- **Practice address:** 4 INDUSTRIAL WAY W STE 100, EATONTOWN, NJ 07724-4239
- **Practice address phone:** (732) 935-0407
- **Practice address fax:** (732) 935-0757
- **Mailing address:** 4 INDUSTRIAL WAY W STE 100, EATONTOWN, NJ 07724-4239
- **Mailing address phone:** (732) 935-0407
- **Mailing address fax:** (732) 935-0757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 03/21/2019