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EDISON PEDIATRICS LLC NPI 1134248073


NPI Information

NPI: 1134248073
Provider Name: EDISON PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3 STATE ROUTE 27 STE 301
COLONIAL VILLAGE SHOPPING COMPLEX
EDISON, NJ
ZIP 08820
Phone: (732) 452-9800
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EDISON PEDIATRICS LLC is a pediatrics in Edison, NJ. The provider is a pediatrician 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. EDISON PEDIATRICS LLC NPI is 1134248073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 STATE ROUTE 27 STE 301
COLONIAL VILLAGE SHOPPING COMPLEX
EDISON, NJ
ZIP 08820-963
Phone: (732) 452-9800

The provider's authorized official is Dinesh R Patel .
The authorized official title is Owner and has the following contact phone number (732) 452-9800.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 12/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsMA058322NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15403901MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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