Active NPIOrganization

Pediatric Eyecare Of Northern Jersey, P.c.

Specialist in Englewood, New Jersey

NPI Number1275818197
Practice location
401A S Van Brunt St, Ste. 200, Englewood, NJ 07631-4600
Fax
201-541-6807
Last updated
November 8, 2011

Pediatric Eyecare Of Northern Jersey, P.c. is a healthcare organization based in Englewood, NJ. Pediatric Eyecare Of Northern Jersey, P.c. practices in Englewood, NJ. The NPI Number for Pediatric Eyecare Of Northern Jersey, P.c. is 1275818197 and holds a License No. 25MA08681500 (NJ). The current practice location address for Pediatric Eyecare Of Northern Jersey, P.c. is 401A S Van Brunt St, Ste. 200, Englewood, NJ 07631-4600 and can be reached out via phone at 201-541-6806 and via fax at 201-541-6807.

Provider Profile Details

NPI Number
1275818197
Provider Name
Pediatric Eyecare Of Northern Jersey, P.c.
Provider Entity Type
Organization
Address
401A S Van Brunt St, Ste. 200, Englewood, NJ 07631-4600
Phone Number
201-541-6806
Fax Number
201-541-6807
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Mrs. Sunny Song · Office Manager · 201-541-6806
Provider Enumeration Date
October 12, 2011
Last Update Date
November 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
401A S Van Brunt St
Ste. 200
Englewood, NJ 07631-4600
Zip
07631-4600
Phone Number
201-541-6806
Fax Number
201-541-6807
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
401A S Van Brunt St
Ste. 200
Englewood, NJ 07631-4600
City
Englewood
State
NJ
Zip
07631-4600
Phone Number
201-541-6806
Fax Number
201-541-6807

License Information

License Number
25MA08681500
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pediatric Eyecare Of Northern Jersey, P.c.?

The NPI number of Pediatric Eyecare Of Northern Jersey, P.c. is 1275818197. It was assigned on October 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Pediatric Eyecare Of Northern Jersey, P.c.?

Pediatric Eyecare Of Northern Jersey, P.c. is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA08681500.

Where does Pediatric Eyecare Of Northern Jersey, P.c. practice?

The practice location is 401A S Van Brunt St, Ste. 200, Englewood, NJ 07631-4600. The office can be reached at 201-541-6806 (phone) or 201-541-6807 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275818197 directly on the NPPES registry website.

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