Mystic Island Pediatric Associates, LLC
NPI 1679892533 · Medical Specialty Clinic/Center · Little Egg Harbor Twp, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mystic Island Pediatric Associates, LLC is a Medical Specialty Clinic/Center organization in Little Egg Harbor Twp, NJ (NPI 1679892533).
Provider details
- NPI number
- 1679892533
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gene Lee, Vp(609) 294-5500
- License
- 25MA05073700 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-18
- Last updated
- 2010-05-18
Frequently asked questions
- What is Mystic Island Pediatric Associates, LLC's NPI number?
- Mystic Island Pediatric Associates, LLC's National Provider Identifier (NPI) is 1679892533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mystic Island Pediatric Associates, LLC?
- Mystic Island Pediatric Associates, LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mystic Island Pediatric Associates, LLC located?
- Mystic Island Pediatric Associates, LLC's practice location on file with NPPES is 104 E Anchor Dr, Little Egg Harbor Twp, NJ 08087-1643.
- What is Mystic Island Pediatric Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mystic Island Pediatric Associates, LLC is (609) 294-5500.
- Does Mystic Island Pediatric Associates, LLC accept Medicare?
- Mystic Island Pediatric Associates, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mystic Island Pediatric Associates, LLC?
- The authorized official listed on Mystic Island Pediatric Associates, LLC's NPPES record is Gene Lee, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mystic Island Pediatric Associates, LLC's NPI active?
- Yes — Mystic Island Pediatric Associates, LLC's NPI (1679892533) is active in the NPPES registry as of the last update on 2010-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.