Jersey City Pediatrics

LBN: Jersey City Pediatrics
Jersey City Pediatrics is an health care organization with primary practice located at 1 Journal Square Plz , Jersey City NJ 07306-4004. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Jersey City Pediatrics can be contacted via phone (201) 963-0090, or through Raha, Bandana via phone (201) 963-0090.

Contact Information

Primary practice address
1 Journal Square Plz Jersey City NJ 07306-4004
Phone: (201) 963-0090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raha, Bandana Doctor of Medicine (MD)
Phone: (201) 963-0090

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MA41101 New Jersey

Profile Details

NPI number 1861660219
LBN Legal business name Jersey City Pediatrics
DBA Doing business as
Authorized official Raha, Bandana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2008
Last updated Feb 19th, 2008 - about 17 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 1861660219 NPPES
New Jersey MEDICAID 5475805

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