Kindcare Pediatric Center Llc

LBN: Kindcare Pediatric Center Llc
Kindcare Pediatric Center Llc is an health care organization with primary practice located at 287 Monroe St , Passaic NJ 07055-5209. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kindcare Pediatric Center Llc can be contacted via phone (973) 574-8688, or through Fernandez, Yocasta via phone (973) 574-8688.

Contact Information

Primary practice address
287 Monroe St Passaic NJ 07055-5209
Phone: (973) 574-8688
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fernandez, Yocasta Doctor of Medicine (MD)
Phone: (973) 574-8688

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA077362 New Jersey

Profile Details

NPI number 1134175060
LBN Legal business name Kindcare Pediatric Center Llc
DBA Doing business as
Authorized official Fernandez, Yocasta Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Jan 4th, 2012 - about 12 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 1134175060 NPPES
New Jersey MEDICAID 0039586

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