Pediatric Clinic Of North Jersey in Jersey City - Primary Care

Pediatric Clinic Of North Jersey - NPI 1538289038

Pediatric Clinic Of North Jersey is a Primary Care in Jersey City, New Jersey. Pediatric Clinic Of North Jersey practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Pediatric Clinic Of North Jersey is 1538289038. The last update date is 2007-09-25.

Pediatric Clinic Of North Jersey's current location address is 3524 John F Kennedy Blvd, Jersey City, New Jersey. You can contact this provider via phone number 2017923022. The mailing address for Pediatric Clinic Of North Jersey is 3524 John F Kennedy Blvd, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Clinic Of North Jersey
Address 3524 John F Kennedy Blvd, Jersey City, New Jersey
Phone Number 2017923022
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Barrera-Tolentino Gabatin Felicisima
Credentials MD
Telephone Number 2017923022

NPI Number Detail

NPI Number 1538289038
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-09-25

Provider Mailing Address Detail

Address 3524 John F Kennedy Blvd
City Jersey City
State New Jersey (NJ)
Post Code 73073448
Phone Number 2017923022
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 25MA04592000
Definition:
Serves as the first point of contact for comprehensive healthcare services.

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FAQs about Pediatric Clinic Of North Jersey

What is the Pediatric Clinic Of North Jersey's unique identification number?

The Pediatric Clinic Of North Jersey has been assigned the NPI (National Provider Identifier) Number 1538289038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Pediatric Clinic Of North Jersey is located?

The Pediatric Clinic Of North Jersey is situated at the following address: 3524 John F Kennedy Blvd, Jersey City, NJ, 73073448.

What is Pediatric Clinic Of North Jersey's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pediatric Clinic Of North Jersey is Primary Care, and the taxonomy classification code that categorizes this area of expertise is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538289038 to Pediatric Clinic Of North Jersey?

The Centers for Medicare & Medicaid Services originally issued the 1538289038 to Pediatric Clinic Of North Jersey on 2007-03-29.

As of what date were the Pediatric Clinic Of North Jersey's details last updated?

The information pertaining to the Pediatric Clinic Of North Jersey, including its address, specialty, and other details, was most recently updated on 2007-09-25.

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