Organization
CANDLEWOOD PEDIATRICS
Active
Other names
TATYANA SHKOLNAYA
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA SHKOLNAYA M.D. (PROPRIETOR/MEDICAL DOCTOR)
(732) 280-3100
Entity
Organization
Contact information
Practice address
1540 HWY. 138, SUITE 105, WALL, NJ 07719
(732) 280-3100
(732) 280-3103
Mailing address
1540 HWY. 138, SUITE 105, WALL, NJ 07719
(732) 280-3100
(732) 280-3103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06638500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497729842
NPI
NJ
Enumeration date
03/11/2014
Last updated
04/04/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up