Active NPIOrganization

Pediatric Surgery Group, LLC

Surgery, Pediatric Surgery in Maplewood, New Jersey

NPI Number1679580781
Practice location
2130 Millburn Ave, Maplewood, NJ 07040-3725
Fax
973-313-3188
Last updated
December 21, 2010

Pediatric Surgery Group, LLC is a healthcare organization based in Maplewood, NJ. Pediatric Surgery Group, LLC practices in Maplewood, NJ. The NPI Number for Pediatric Surgery Group, LLC is 1679580781. The current practice location address for Pediatric Surgery Group, LLC is 2130 Millburn Ave, Maplewood, NJ 07040-3725 and can be reached out via phone at 973-313-3115 and via fax at 973-313-3188.

Provider Profile Details

NPI Number
1679580781
Provider Name
Pediatric Surgery Group, LLC
Provider Entity Type
Organization
Address
2130 Millburn Ave, Maplewood, NJ 07040-3725
Phone Number
973-313-3115
Fax Number
973-313-3188
Primary Taxonomy
Surgery, Pediatric Surgery · 2086S0120X
Organization Subpart
No
Authorized Official
Dr. Colin Bethel, MD · Managing Member · 973-660-9334
Provider Enumeration Date
August 2, 2006
Last Update Date
December 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2130 Millburn Ave
Maplewood, NJ 07040-3725
Zip
07040-3725
Phone Number
973-313-3115
Fax Number
973-313-3188
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
25B Vreeland RD
Suite 110
Florham Park, NJ 07932-1900
City
Florham Park
State
NJ
Zip
07932-1900
Phone Number
973-660-9334
Fax Number
973-660-9732

License Information

Taxonomy
Surgery, Pediatric Surgery · 2086S0120X · Primary

Legacy Identifiers

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

Other Surgery, Pediatric Surgery providers near Maplewood, NJ

View all Surgery, Pediatric Surgery providers in Maplewood →

Frequently Asked Questions

What is the NPI number of Pediatric Surgery Group, LLC?

The NPI number of Pediatric Surgery Group, LLC is 1679580781. It was assigned on August 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Pediatric Surgery Group, LLC?

Pediatric Surgery Group, LLC is registered under the primary taxonomy Surgery, Pediatric Surgery (code 2086S0120X).

Where does Pediatric Surgery Group, LLC practice?

The practice location is 2130 Millburn Ave, Maplewood, NJ 07040-3725. The office can be reached at 973-313-3115 (phone) or 973-313-3188 (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 1679580781 directly on the NPPES registry website.

Browse related providers