Active NPIOrganization

Pediatrics & Adolescent Saint Mary Clinic, LLC

Pediatrics, Adolescent Medicine in Kearny, New Jersey

NPI Number1831555705
Practice location
65 Kearny Ave, Kearny, NJ 07032-2334
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
Zip
07032-2334
Phone Number
646-388-2111
Kearny, NJ 07032Get directions →

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

IdentifierTypeStateIssuer
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 →

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.

Browse related providers