Active NPIOrganization

Progressive Pediatrics

Pediatrics in Union City, New Jersey

NPI Number1750441333
Practice location
3196 Kennedy Blvd, 3RD Floor, Union City, NJ 07087-2436
Fax
201-319-9849
Last updated
February 17, 2012

Progressive Pediatrics is a healthcare organization based in Union City, NJ. Progressive Pediatrics practices in Union City, NJ. The NPI Number for Progressive Pediatrics is 1750441333 and holds a License No. MA63880 (NJ). The current practice location address for Progressive Pediatrics is 3196 Kennedy Blvd, 3RD Floor, Union City, NJ 07087-2436 and can be reached out via phone at 201-319-9800 and via fax at 201-319-9849.

Provider Profile Details

NPI Number
1750441333
Provider Name
Progressive Pediatrics
Provider Entity Type
Organization
Address
3196 Kennedy Blvd, 3RD Floor, Union City, NJ 07087-2436
Phone Number
201-319-9800
Fax Number
201-319-9849
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Noha Polack, MD · President · 201-319-9800
Provider Enumeration Date
December 12, 2006
Last Update Date
February 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
3196 Kennedy Blvd
3RD Floor
Union City, NJ 07087-2436
Zip
07087-2436
Phone Number
201-319-9800
Fax Number
201-319-9849
Union City, NJ 07087Get directions →

Provider Business Mailing Address Details

Address
3196 Kennedy Blvd
3RD Floor
Union City, NJ 07087-2436
City
Union City
State
NJ
Zip
07087-2436
Phone Number
201-319-9800
Fax Number
201-319-9849

License Information

License Number
MA63880
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Progressive Pediatrics?

The NPI number of Progressive Pediatrics is 1750441333. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Progressive Pediatrics?

Progressive Pediatrics is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MA63880.

Where does Progressive Pediatrics practice?

The practice location is 3196 Kennedy Blvd, 3RD Floor, Union City, NJ 07087-2436. The office can be reached at 201-319-9800 (phone) or 201-319-9849 (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 1750441333 directly on the NPPES registry website.

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