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

Pediatric and Adolescent Medicine Group Nj

Organization Pediatric Adolescent Medicine Physician · NPI 1134280043

Pediatric and Adolescent Medicine Group Nj provides Pediatric Adolescent Medicine Physician services in Blackwood, New Jersey. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

400 E Church St
Blackwood, NJ 08012-3910
Phone: (856) 374-8446
Fax: (856) 232-9291
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1134280043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Magliocco — Office Manager · (856) 374-8446
NPI enumeratedDecember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address400 E Church St, Blackwood, NJ 08012-3910