Active NPIOrganization

Agape Pediatric Center

Clinic/Center, Primary Care in East Orange, New Jersey

NPI Number1932316403
Practice location
185 Central Ave, Suite 401, East Orange, NJ 07018-3332
Fax
973-673-6511
Last updated
August 22, 2020

Agape Pediatric Center is a healthcare organization based in East Orange, NJ. Agape Pediatric Center practices in East Orange, NJ. The NPI Number for Agape Pediatric Center is 1932316403 and holds a License No. MA59554 (NJ). The current practice location address for Agape Pediatric Center is 185 Central Ave, Suite 401, East Orange, NJ 07018-3332 and can be reached out via phone at 973-673-6311 and via fax at 973-673-6511.

Provider Profile Details

NPI Number
1932316403
Provider Name
Agape Pediatric Center
Provider Entity Type
Organization
Address
185 Central Ave, Suite 401, East Orange, NJ 07018-3332
Phone Number
973-673-6311
Fax Number
973-673-6511
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Dr. Adrian Bruce Walcott, MD · Direct Owner · 973-673-6311
Provider Enumeration Date
May 16, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Central Ave
Suite 401
East Orange, NJ 07018-3332
Zip
07018-3332
Phone Number
973-673-6311
Fax Number
973-673-6511
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
185 Central Ave
Suite 401
East Orange, NJ 07018-3332
City
East Orange
State
NJ
Zip
07018-3332
Phone Number
973-673-6311
Fax Number
973-673-6511

License Information

License Number
MA59554
License State
NJ
Taxonomy
Clinic/Center, Primary Care · 261QP2300X · 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 Agape Pediatric Center?

The NPI number of Agape Pediatric Center is 1932316403. It was assigned on May 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Agape Pediatric Center?

Agape Pediatric Center is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number MA59554.

Where does Agape Pediatric Center practice?

The practice location is 185 Central Ave, Suite 401, East Orange, NJ 07018-3332. The office can be reached at 973-673-6311 (phone) or 973-673-6511 (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 1932316403 directly on the NPPES registry website.

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