Passaic Pediatrics Pa
LBN: Passaic Pediatrics Pa
Passaic Pediatrics Pa is an health care organization with primary practice located at 200 Gregory Ave , Passaic NJ 07055-3802. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Passaic Pediatrics Pa can be contacted via phone (973) 249-8100, or through Camilo, Antonio M via phone (201) 233-3455.
Contact Information
Primary practice address
200 Gregory Ave
Passaic NJ 07055-3802
Phone: (973) 249-8100
Fax: (973) 249-8110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA07167400 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA08000400 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA07649100 | New Jersey |
Profile Details
| NPI number | 1326383076 |
|---|---|
| LBN Legal business name | Passaic Pediatrics Pa |
| DBA Doing business as | |
| Authorized official | Camilo, Antonio M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2012 |
| Last updated | Dec 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326383076 | NPPES |
| New Jersey | MEDICAID | 1659418978 | |
| New Jersey | MEDICAID | 1497724819 | |
| New Jersey | MEDICAID | 1629047048 |
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