Pediaric Center 2000 Inc
LBN: Pediaric Center 2000 Inc
Pediaric Center 2000 Inc is an health care organization with primary practice located at 571 N 6Th St , Newark NJ 07107-2501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty.
Pediaric Center 2000 Inc can be contacted via phone (973) 485-5401, or through Ortega, Jesus Ruben via phone (973) 484-5401.
Contact Information
Primary practice address
571 N 6Th St
Newark NJ 07107-2501
Phone: (973) 485-5401
Fax: (973) 485-1536
Website:
Authorized official contact:
Name: Ortega, Jesus Ruben Doctor of Medicine (MD)
Phone: (973) 484-5401
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA06060600 | New Jersey |
Profile Details
NPI number | 1215179312 |
---|---|
LBN Legal business name | Pediaric Center 2000 Inc |
DBA Doing business as | |
Authorized official | Ortega, Jesus Ruben Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 3rd, 2009 |
Last updated | Apr 3rd, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215179312 | NPPES |
New Jersey | MEDICAID | 6164102 |
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