College Plaza Pediatrics
Pediatrics in Randolph, New Jersey
1417083403- Practice location
- 765 Route 10 East, Suite 203, Randolph, NJ 07869-1925
- Phone
- 973-659-9991
- Fax
- 973-659-9632
- Last updated
- May 22, 2012
College Plaza Pediatrics is a healthcare organization based in Randolph, NJ. College Plaza Pediatrics practices in Randolph, NJ. The NPI Number for College Plaza Pediatrics is 1417083403 and holds a License No. MA057052 (NJ). The current practice location address for College Plaza Pediatrics is 765 Route 10 East, Suite 203, Randolph, NJ 07869-1925 and can be reached out via phone at 973-659-9991 and via fax at 973-659-9632.
Provider Profile Details
- NPI Number
- 1417083403
- Provider Name
- College Plaza Pediatrics
- Provider Entity Type
- Organization
- Address
- 765 Route 10 East, Suite 203, Randolph, NJ 07869-1925
- Phone Number
- 973-659-9991
- Fax Number
- 973-659-9632
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Mr. Julio C Guerra, MD · Owner · 973-659-9991
- Provider Enumeration Date
- February 26, 2007
- Last Update Date
- May 22, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 765 Route 10 East
Suite 203
Randolph, NJ 07869-1925 - City
- Randolph
- State
- New Jersey
- Zip
- 07869-1925
- Phone Number
- 973-659-9991
- Fax Number
- 973-659-9632
Provider Business Mailing Address Details
- Address
- 765 Route 10 East
Suite 203
Randolph, NJ 07869-1925 - City
- Randolph
- State
- NJ
- Zip
- 07869-1925
- Phone Number
- 973-659-9991
- Fax Number
- 973-659-9632
License Information
- License Number
- MA057052
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Randolph, NJ
View all Pediatrics providers in Randolph →- Angela Otto-Ryan, DNP, APN, CPNP-PCPediatrics · NPI 1174299648
- Dr. Elena Shteynberg, MDPediatrics · NPI 1922043116
- Dr. Fiona Pakonis, MDPediatrics · NPI 1821163643
- Dr. Ita Scolnick, MDPediatrics · NPI 1194768580
- Dr. Karen Patashny, MDPediatrics · NPI 1265495717
- Julio C Guerra, MDPediatrics · NPI 1154432276
Frequently Asked Questions
What is the NPI number of College Plaza Pediatrics?
The NPI number of College Plaza Pediatrics is 1417083403. It was assigned on February 26, 2007 and is currently active in the NPPES registry.
What is the specialty of College Plaza Pediatrics?
College Plaza Pediatrics is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MA057052.
Where does College Plaza Pediatrics practice?
The practice location is 765 Route 10 East, Suite 203, Randolph, NJ 07869-1925. The office can be reached at 973-659-9991 (phone) or 973-659-9632 (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 1417083403 directly on the NPPES registry website.