Provider Demographics
NPI:1174564967
Name:HEALTHY FUTURES PEDIATRICS LLC
Entity type:Organization
Organization Name:HEALTHY FUTURES PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:MAKOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-462-7511
Mailing Address - Street 1:55 RUSTIC WAY
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-9008
Mailing Address - Country:US
Mailing Address - Phone:732-863-0807
Mailing Address - Fax:
Practice Address - Street 1:9 PROFESSIONAL CIR
Practice Address - Street 2:SUITE 107
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-2426
Practice Address - Country:US
Practice Address - Phone:731-462-7511
Practice Address - Fax:732-462-2822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA058185208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty