Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licking Memorial Professional Corp

Organization Pediatrics Physician · NPI 1669547824

Licking Memorial Professional Corp is a Pediatrics Physician in Newark, Ohio. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

399 E Main St
Newark, OH 43055-6516
Phone: (740) 348-1840
Fax: (740) 348-1841
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1669547824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Credentialing Coordinator · (740) 348-4027
Other names Licking Memorial Pediatrics East
NPI enumeratedNovember 22, 2006
Last updated in NPPESAugust 22, 2020
Mailing address399 E Main St, Newark, OH 43055-6516

Other providers in Newark