Elizabeth Pediatric Group, Llc in Elizabeth - Pediatrics
Elizabeth Pediatric Group, Llc - NPI 1104031939
Elizabeth Pediatric Group, Llc is a Pediatrics in Elizabeth, New Jersey. Elizabeth Pediatric Group, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Elizabeth Pediatric Group, Llc is 1104031939. The last update date is 2020-08-22.
Elizabeth Pediatric Group, Llc's current location address is 701 Newark Ave, Elizabeth, New Jersey. You can contact this provider via phone number 9083549500 and fax number 9083549077. The mailing address for Elizabeth Pediatric Group, Llc is 701 Newark Ave, Elizabeth, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elizabeth Pediatric Group, Llc |
|---|---|
| Address | 701 Newark Ave, Elizabeth, New Jersey |
| Phone Number | 9083549500 |
| Fax Number | 9083549077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Davis James Kenneth |
| Credentials | MD |
| Telephone Number | 9083549500 |
NPI Number Detail
| NPI Number | 1104031939 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 701 Newark Ave |
|---|---|
| City | Elizabeth |
| State | New Jersey (NJ) |
| Post Code | 72083550 |
| Phone Number | 9083549500 |
| Fax Number | 9083549077 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 25MA04177300 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique 10-digit identification code issued to Elizabeth Pediatric Group, Llc by the Centers for Medicare & Medicaid Services?
The Elizabeth Pediatric Group, Llc has been assigned the NPI (National Provider Identifier) 1104031939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Elizabeth Pediatric Group, Llc is physically located?
The Elizabeth Pediatric Group, Llc is physically situated at the following address: 701 Newark Ave, Elizabeth, NJ, 72083550.
What is Elizabeth Pediatric Group, Llc's area of expertise and its corresponding taxonomy classification?
The Elizabeth Pediatric Group, Llc's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1104031939 to Elizabeth Pediatric Group, Llc?
The Centers for Medicare & Medicaid Services assigned the 1104031939 to Elizabeth Pediatric Group, Llc on 2007-05-14.
When was the information related to Elizabeth Pediatric Group, Llc most recently updated or refreshed?
The details pertaining to the Elizabeth Pediatric Group, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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