Active NPIOrganization

Pedi Group,pa

Pediatrics in Old Bridge, New Jersey

NPI Number1790845113
Practice location
2695 County Road 516, Browntown Shopping Center, Old Bridge, NJ 08857-2319
Fax
732-679-6620
Last updated
August 22, 2020

Pedi Group,pa is a healthcare organization based in Old Bridge, NJ. Pedi Group,pa practices in Old Bridge, NJ. The NPI Number for Pedi Group,pa is 1790845113 and holds a License No. 25MA06034900 (NJ). The current practice location address for Pedi Group,pa is 2695 County Road 516, Browntown Shopping Center, Old Bridge, NJ 08857-2319 and can be reached out via phone at 732-679-6650 and via fax at 732-679-6620.

Provider Profile Details

NPI Number
1790845113
Provider Name
Pedi Group,pa
Provider Entity Type
Organization
Address
2695 County Road 516, Browntown Shopping Center, Old Bridge, NJ 08857-2319
Phone Number
732-679-6650
Fax Number
732-679-6620
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Leon Bautista Mesina, MD · Vp · 732-679-6650
Provider Enumeration Date
December 8, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2695 County Road 516
Browntown Shopping Center
Old Bridge, NJ 08857-2319
Zip
08857-2319
Phone Number
732-679-6650
Fax Number
732-679-6620
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
2695 County Road 516
Browntown Shopping Center
Old Bridge, NJ 08857-2319
City
Old Bridge
State
NJ
Zip
08857-2319
Phone Number
732-679-6650
Fax Number
732-679-6620

License Information

License Number (1)
25MA06034900
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
25MA06092500
License State (2)
NJ
Taxonomy (2)
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 Pedi Group,pa?

The NPI number of Pedi Group,pa is 1790845113. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Pedi Group,pa?

Pedi Group,pa is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06034900.

Where does Pedi Group,pa practice?

The practice location is 2695 County Road 516, Browntown Shopping Center, Old Bridge, NJ 08857-2319. The office can be reached at 732-679-6650 (phone) or 732-679-6620 (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 1790845113 directly on the NPPES registry website.

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