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

Rivendell Pediatric and Adolscent Medicine, PC

Organization Pediatrics Physician · NPI 1497797864

Rivendell Pediatric and Adolscent Medicine, PC is a Pediatrics Physician in Columbus, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Homestead Dr Ste H
Columbus, NJ 08022-1005
Phone: (609) 424-0340
Fax: (609) 298-7452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA04122800 (NJ)

Record details

NPI number1497797864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Hirsch — Md/Pres · (609) 424-0340
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address25 Homestead Dr, Ste H, Columbus, NJ 08022-1005

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