Pediatric Practice in Jersey City - Pediatrics

Pediatric Practice - NPI 1538221171

Pediatric Practice is a Pediatrics in Jersey City, New Jersey. Pediatric Practice practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatric Practice is 1538221171. The last update date is 2008-04-20.

Pediatric Practice's current location address is 127 Palisade Ave, Jersey City, New Jersey. You can contact this provider via phone number 2012171000 and fax number 2012173118. The mailing address for Pediatric Practice is 127 Palisade Ave, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Practice
Address 127 Palisade Ave, Jersey City, New Jersey
Phone Number 2012171000
Fax Number 2012173118
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Malik K Tayyaba
Credentials MD
Telephone Number 2012171000

NPI Number Detail

NPI Number 1538221171
Provider Enumeration Date 2006-12-13
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 127 Palisade Ave
City Jersey City
State New Jersey (NJ)
Post Code 73061101
Phone Number 2012171000
Fax Number 2012173118

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MA60432
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1 PRUDENTIAL
HUL00007402 NJ --
1444591 UNITED HEALTH CARE
491427 AETNA US HEALTHCARE
551491 EMPIRE BLUE CORSS BS
6186106 NJ --
13407 NJ --
22943 NJ --
1010550 NJ --
2697096 GHI (GROUP HEALTH CARE)

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FAQs about Pediatric Practice

What is the unique 10-digit identification code issued to Pediatric Practice by the Centers for Medicare & Medicaid Services?

The Pediatric Practice has been assigned the NPI (National Provider Identifier) 1538221171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Pediatric Practice is located?

The Pediatric Practice is situated at the following address: 127 Palisade Ave, Jersey City, NJ, 73061101.

What is Pediatric Practice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Pediatric Practice's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.

On what date was the 1538221171 assigned to Pediatric Practice?

The Pediatric Practice was issued its 1538221171 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Pediatric Practice, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Pediatric Practice, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.

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