New Jersey Pediatric And Adolescent Care, LLC
Clinic/Center, Primary Care in Wayne, New Jersey
1912334434- Practice location
- 1680 Route 23, Suite 350, Wayne, NJ 07470-7501
- Phone
- 973-521-9700
- Fax
- —
- Last updated
- September 29, 2013
New Jersey Pediatric And Adolescent Care, LLC is a healthcare organization based in Wayne, NJ. New Jersey Pediatric And Adolescent Care, LLC practices in Wayne, NJ. The NPI Number for New Jersey Pediatric And Adolescent Care, LLC is 1912334434 and holds a License No. 25MA06235800 (NJ). The current practice location address for New Jersey Pediatric And Adolescent Care, LLC is 1680 Route 23, Suite 350, Wayne, NJ 07470-7501 and can be reached out via phone at 973-521-9700.
Provider Profile Details
- NPI Number
- 1912334434
- Provider Name
- New Jersey Pediatric And Adolescent Care, LLC
- Provider Entity Type
- Organization
- Address
- 1680 Route 23, Suite 350, Wayne, NJ 07470-7501
- Phone Number
- 973-521-9700
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Lydia M Charles, MD · Owner · 973-276-1140
- Provider Enumeration Date
- September 29, 2013
- Last Update Date
- September 29, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1680 Route 23
Suite 350
Wayne, NJ 07470-7501 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-7501
- Phone Number
- 973-521-9700
Provider Business Mailing Address Details
- Address
- 4 Fox Hollow RD
Montville, NJ 07045-9300 - City
- Montville
- State
- NJ
- Zip
- 07045-9300
- Phone Number
- 973-276-1140
License Information
- License Number
- 25MA06235800
- License State
- NJ
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 New Jersey Pediatric And Adolescent Care, LLC?
The NPI number of New Jersey Pediatric And Adolescent Care, LLC is 1912334434. It was assigned on September 29, 2013 and is currently active in the NPPES registry.
What is the specialty of New Jersey Pediatric And Adolescent Care, LLC?
New Jersey Pediatric And Adolescent Care, LLC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number 25MA06235800.
Where does New Jersey Pediatric And Adolescent Care, LLC practice?
The practice location is 1680 Route 23, Suite 350, Wayne, NJ 07470-7501. The office can be reached at 973-521-9700 (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 1912334434 directly on the NPPES registry website.