All Star Pediatrics And Sports Medicine
Pediatrics in Bloomfield, New Jersey
1972912566- Practice location
- 199 Broad St, Suite 1B, Bloomfield, NJ 07003-2635
- Phone
- 973-743-1392
- Fax
- 973-743-3707
- Last updated
- August 7, 2014
All Star Pediatrics And Sports Medicine is a healthcare organization based in Bloomfield, NJ. All Star Pediatrics And Sports Medicine practices in Bloomfield, NJ. The NPI Number for All Star Pediatrics And Sports Medicine is 1972912566 and holds a License No. 25MA08474900 (NJ). The current practice location address for All Star Pediatrics And Sports Medicine is 199 Broad St, Suite 1B, Bloomfield, NJ 07003-2635 and can be reached out via phone at 973-743-1392 and via fax at 973-743-3707.
Provider Profile Details
- NPI Number
- 1972912566
- Provider Name
- All Star Pediatrics And Sports Medicine
- Provider Entity Type
- Organization
- Address
- 199 Broad St, Suite 1B, Bloomfield, NJ 07003-2635
- Phone Number
- 973-743-1392
- Fax Number
- 973-743-3707
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ruchi Mehta, MD · Medical Director · 973-743-1392
- Provider Enumeration Date
- August 7, 2014
- Last Update Date
- August 7, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 199 Broad St
Suite 1B
Bloomfield, NJ 07003-2635 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-2635
- Phone Number
- 973-743-1392
- Fax Number
- 973-743-3707
Provider Business Mailing Address Details
- Address
- 199 Broad St
Suite 1B
Bloomfield, NJ 07003-2635 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-2635
- Phone Number
- 973-743-1392
- Fax Number
- 973-743-3707
License Information
- License Number
- 25MA08474900
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Bloomfield, NJ
View all Pediatrics providers in Bloomfield →Frequently Asked Questions
What is the NPI number of All Star Pediatrics And Sports Medicine?
The NPI number of All Star Pediatrics And Sports Medicine is 1972912566. It was assigned on August 7, 2014 and is currently active in the NPPES registry.
What is the specialty of All Star Pediatrics And Sports Medicine?
All Star Pediatrics And Sports Medicine is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA08474900.
Where does All Star Pediatrics And Sports Medicine practice?
The practice location is 199 Broad St, Suite 1B, Bloomfield, NJ 07003-2635. The office can be reached at 973-743-1392 (phone) or 973-743-3707 (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 1972912566 directly on the NPPES registry website.