Passaic Pediatrics Ii Pa

LBN: Passaic Pediatrics Ii Pa
Passaic Pediatrics Ii Pa is an health care organization with primary practice located at 913 Main Ave , Passaic NJ 07055-8512. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Passaic Pediatrics Ii Pa can be contacted via phone (973) 458-8000, or through Almanzar, Raul via phone (973) 458-8000.

Contact Information

Primary practice address
913 Main Ave Passaic NJ 07055-8512
Phone: (973) 458-8000
Fax: (973) 458-8425
Website:
Map and Directions
Authorized official contact:
Name: Almanzar, Raul Doctor of Medicine (MD)
Phone: (973) 458-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06599400 New Jersey

Profile Details

NPI number 1942256342
LBN Legal business name Passaic Pediatrics Ii Pa
DBA Doing business as
Authorized official Almanzar, Raul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Jun 5th, 2008 - about 16 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 1942256342 NPPES
New Jersey MEDICAID 0045253
New Jersey MEDICAID 0044245
New Jersey MEDICAID 8220721
New Jersey MEDICAID 0083691
New Jersey MEDICAID 8407304

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