Pediatric Practice

LBN: Pedi Practices
Pediatric Practice is an health care organization with primary practice located at 127 Palisade Ave , Jersey City NJ 07306-1101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pedi Practices can be contacted via phone (201) 217-1000, or through Malik, Tayyaba K via phone (201) 217-1000.

Contact Information

Primary practice address
127 Palisade Ave Jersey City NJ 07306-1101
Fax: (201) 217-3118
Website:
Authorized official contact:
Name: Malik, Tayyaba K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MA060432 New Jersey

Profile Details

NPI number 1811232762
LBN Legal business name Pedi Practices
DBA Doing business as Pediatric Practice
Authorized official Malik, Tayyaba K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2012
Last updated Apr 17th, 2023 - about last year

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 1811232762 NPPES
New Jersey Other 491427 AETNA
New Jersey Other 001 AETNA
New Jersey Other 551491 AETNA
New Jersey MEDICAID 2K3441 AETNA
New Jersey Other 2697096 AETNA
New Jersey MEDICAID HUL00007402 AETNA

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