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
Fax: (973) 485-1536
Website:
Authorized official contact:
Name: Ortega, Jesus Ruben Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215179312 NPPES
New Jersey MEDICAID 6164102

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