Bayonne Pediatric Practice
Pediatrics in Bayonne, New Jersey
1427416304- Practice location
- 765 Kennedy Blvd, Bayonne, NJ 07002
- Phone
- 201-823-4141
- Fax
- —
- Last updated
- December 10, 2021
Bayonne Pediatric Practice is a healthcare organization based in Bayonne, NJ. Bayonne Pediatric Practice practices in Bayonne, NJ. The NPI Number for Bayonne Pediatric Practice is 1427416304 and holds a License No. 25MA08140300 (NJ). The current practice location address for Bayonne Pediatric Practice is 765 Kennedy Blvd, Bayonne, NJ 07002 and can be reached out via phone at 201-823-4141.
Provider Profile Details
- NPI Number
- 1427416304
- Provider Name
- Bayonne Pediatric Practice
- Provider Entity Type
- Organization
- Address
- 765 Kennedy Blvd, Bayonne, NJ 07002
- Phone Number
- 201-823-4141
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Shalini Nagarajan Raghu, MD · Owner · 201-823-4141
- Provider Enumeration Date
- February 5, 2016
- Last Update Date
- December 10, 2021
- Certification Date
- December 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 765 Kennedy Blvd
Bayonne, NJ 07002 - City
- Bayonne
- State
- New Jersey
- Zip
- 07002
- Phone Number
- 201-823-4141
Provider Business Mailing Address Details
- Address
- 21 Tamarack RD
Edison, NJ 08820-3630 - City
- Edison
- State
- NJ
- Zip
- 08820-3630
- Phone Number
- 201-823-4141
- Fax Number
- 201-823-1141
License Information
- License Number
- 25MA08140300
- 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 Bayonne, NJ
View all Pediatrics providers in Bayonne →Frequently Asked Questions
What is the NPI number of Bayonne Pediatric Practice?
The NPI number of Bayonne Pediatric Practice is 1427416304. It was assigned on February 5, 2016 and is currently active in the NPPES registry.
What is the specialty of Bayonne Pediatric Practice?
Bayonne Pediatric Practice is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA08140300.
Where does Bayonne Pediatric Practice practice?
The practice location is 765 Kennedy Blvd, Bayonne, NJ 07002. The office can be reached at 201-823-4141 (phone).
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 1427416304 directly on the NPPES registry website.