All Star Pediatrics And Sports Medicine

LBN: All Star Pediatrics And Sports Medicine
All Star Pediatrics And Sports Medicine is an health care organization with primary practice located at 199 Broad St Suite 1B, Bloomfield NJ 07003-2635. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. All Star Pediatrics And Sports Medicine can be contacted via phone (973) 743-1392, or through Mehta, Ruchi via phone (973) 743-1392.

Contact Information

Primary practice address
199 Broad St Suite 1B Bloomfield NJ 07003-2635
Phone: (973) 743-1392
Fax: (973) 743-3707
Website:
Map and Directions
Authorized official contact:
Name: Mehta, Ruchi Doctor of Medicine (MD)
Phone: (973) 743-1392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08474900 New Jersey

Profile Details

NPI number 1972912566
LBN Legal business name All Star Pediatrics And Sports Medicine
DBA Doing business as
Authorized official Mehta, Ruchi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2014
Last updated Aug 7th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972912566 NPPES
New Jersey MEDICAID 0287326

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