Pediaric Center 2000 Inc
Pediatric Adolescent Medicine
Pediaric Center 2000 Inc is a Newark, New Jersey based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
571 N 6th St, Newark, New Jersey - 07107-2501. They can be contacted on phone at
973-485-5401 and fax number 973-485-1536.
NPI number (Unique professional ID) for Pediaric Center 2000 Inc is
1215179312 which was assigned by NPPES on 03 Apr, 2009 and it was last updated on 03 Apr, 2009.
Pediaric Center 2000 Inc license number is
25MA06060600 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Pediaric Center 2000 Inc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Pediaric Center 2000 Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediaric Center 2000 Inc |
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Business Address:
Pediaric Center 2000 Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 571 N 6th St
Newark, NJ, 07107-2501
United States |
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| Phone Number : | 973-485-5401 |
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| Fax Number : | 973-485-1536 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215179312 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Apr, 2009 |
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| Last Updated On : | 03 Apr, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jesusruben Ortega |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 973-484-5401 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediaric Center 2000 Inc are as mentioned. Primary taxonomy code for Pediaric Center 2000 Inc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 25MA06060600 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Pediaric Center 2000 Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6164102 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1079 Pleasant Valley Way
West Orange, NJ, 07052-1418
United States |
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| Phone Number : | 973-485-5401 |
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| Fax Number : | 973-485-1536 |
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Business Location:
Patients can refer following map for directions to
Pediaric Center 2000 Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.