Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mystic Island Pediatric Associates, LLC

Organization Medical Specialty Clinic/Center · NPI 1679892533

Mystic Island Pediatric Associates, LLC provides Medical Specialty Clinic/Center services in Little Egg Harbor Twp, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1387 Route 539 Unit 2C
Little Egg Harbor Twp, NJ 08087-9804
Phone: (609) 296-1900
Fax: (609) 296-1906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 25MA05073700 (NJ)

Record details

NPI number1679892533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gene Lee — Vp · (609) 294-5500
NPI enumeratedMay 18, 2010
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026
Mailing address1387 Route 539 Unit 2c, Little Egg Harbor Twp, NJ 08087-9804