Pediatric Practice
Pediatrics
Pediatric Practice is a Jersey City, New Jersey based Pediatric center with medical specialization in
General Pediatrics.
It is located at
127 Palisade Ave, Jersey City, New Jersey - 07306-1101. They can be contacted on phone at
201-217-1000 and fax number 201-217-3118.
NPI number (Unique professional ID) for Pediatric Practice is
1538221171 which was assigned by NPPES on 13 Dec, 2006 and it was last updated on 20 Apr, 2008.
Pediatric Practice license number is
MA60432 for Pediatrics (208000000X) in New Jersey.
Pediatric Practice is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pediatric Practice basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pediatric Practice |
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Business Address:
Pediatric Practice 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 : | 127 Palisade Ave
Jersey City, NJ, 07306-1101
United States |
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| Phone Number : | 201-217-1000 |
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| Fax Number : | 201-217-3118 |
|---|
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 : | 1538221171 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Dec, 2006 |
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| Last Updated On : | 20 Apr, 2008 |
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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 : | Tayyabak Malik |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 201-217-1000 |
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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 Pediatric Practice are as mentioned. Primary taxonomy code for Pediatric Practice is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MA60432 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Practice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ========= | Other | | CIGNA |
| P2042267 | Other | | OXFORD |
| 1444591 | Other | | UNITED HEALTH CARE |
| ========= | Other | | CHN- CONSUMER HEALTH NETW |
| ========= | Other | | QUALCARE |
| HUL00007402 | MEDICAID | NJ | |
| ========= | Other | | PHCS |
| 1010550 | MEDICAID | NJ | |
| 6186106 | MEDICAID | NJ | |
| 001 | Other | | PRUDENTIAL |
| 491427 | Other | | AETNA US HEALTHCARE |
| 551491 | Other | | EMPIRE BLUE CORSS BS |
| 13407 | MEDICAID | NJ | |
| ========= | Other | | HORIZON - BCBS |
| 2697096 | Other | | GHI (GROUP HEALTH CARE) |
| 22943 | MEDICAID | NJ | |
| 2K3441 | 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 : | 127 Palisade Ave
Jersey City, NJ, 07306-1101
United States |
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| Phone Number : | 201-217-1000 |
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| Fax Number : | 201-217-3118 |
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Business Location:
Patients can refer following map for directions to
Pediatric Practice practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.