Pediatrics & Adolescent Saint Mary Clinic, LLC
Pediatrics, Adolescent Medicine in Kearny, New Jersey
1831555705- Practice location
- 65 Kearny Ave, Kearny, NJ 07032-2334
- Phone
- 646-388-2111
- Fax
- —
- Last updated
- January 8, 2016
Pediatrics & Adolescent Saint Mary Clinic, LLC is a healthcare organization based in Kearny, NJ. Pediatrics & Adolescent Saint Mary Clinic, LLC practices in Kearny, NJ. The NPI Number for Pediatrics & Adolescent Saint Mary Clinic, LLC is 1831555705 and holds a License No. 25MA09372400 (NJ). The current practice location address for Pediatrics & Adolescent Saint Mary Clinic, LLC is 65 Kearny Ave, Kearny, NJ 07032-2334 and can be reached out via phone at 646-388-2111.
Provider Profile Details
- NPI Number
- 1831555705
- Provider Name
- Pediatrics & Adolescent Saint Mary Clinic, LLC
- Provider Entity Type
- Organization
- Address
- 65 Kearny Ave, Kearny, NJ 07032-2334
- Phone Number
- 646-388-2111
- Primary Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X
- Organization Subpart
- No
- Authorized Official
- Inas Wassef, MD · Owner · 646-388-2111
- Provider Enumeration Date
- January 8, 2016
- Last Update Date
- January 8, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Kearny Ave
Kearny, NJ 07032-2334 - City
- Kearny
- State
- New Jersey
- Zip
- 07032-2334
- Phone Number
- 646-388-2111
Provider Business Mailing Address Details
- Address
- 204 Green Valley RD
Staten Island, NY 10312-1825 - City
- Staten Island
- State
- NY
- Zip
- 10312-1825
License Information
- License Number
- 25MA09372400
- License State
- NJ
- Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Adolescent Medicine providers near Kearny, NJ
View all Pediatrics, Adolescent Medicine providers in Kearny →- Dr. Frank Y LuoPsychologist · NPI 1730087594
- Holsman PT Rehabilitation PCPhysical Therapist · NPI 1699027953
- Zharia N Crawford, LSWSocial Worker · NPI 1811894959
- Vanessa FonsecaSocial Worker · NPI 1265338271
- Mr. Robert J AponteCounselor, Addiction (Substance Use Disorder) · NPI 1992601983
- Helena Muhammad, CADCSubstance Abuse Rehabilitation Facility · NPI 1053217000
Frequently Asked Questions
What is the NPI number of Pediatrics & Adolescent Saint Mary Clinic, LLC?
The NPI number of Pediatrics & Adolescent Saint Mary Clinic, LLC is 1831555705. It was assigned on January 8, 2016 and is currently active in the NPPES registry.
What is the specialty of Pediatrics & Adolescent Saint Mary Clinic, LLC?
Pediatrics & Adolescent Saint Mary Clinic, LLC is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in NJ under license number 25MA09372400.
Where does Pediatrics & Adolescent Saint Mary Clinic, LLC practice?
The practice location is 65 Kearny Ave, Kearny, NJ 07032-2334. The office can be reached at 646-388-2111 (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 1831555705 directly on the NPPES registry website.