Organization
RIVENDELL PEDIATRIC AND ADOLSCENT MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MICHAEL HIRSCH MD (MD/PRES)
(609) 424-0340
Entity
Organization
Contact information
Practice address
25 HOMESTEAD DR, STE H, COLUMBUS, NJ 08022-1005
(609) 424-0340
(609) 298-7452
Mailing address
25 HOMESTEAD DR, STE H, COLUMBUS, NJ 08022-1005
(609) 424-0340
(609) 298-7452
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04122800
NJ
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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