PARAMUS PEDIATRICS PA NPI 1316184112

NPI Information

NPI: 1316184112
Provider Name: PARAMUS PEDIATRICS, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 31D0989427

Address:
22 MADISON AVE STE 101
PARAMUS, NJ
ZIP 07652
Phone: (201) 712-1599
Get Directions

PARAMUS PEDIATRICS, PA is a primary care clinic center in Paramus, NJ. PARAMUS PEDIATRICS, PA NPI is 1316184112. The provider is registered as an organization entity type.

The provider's business location address is:

22 MADISON AVE STE 101
PARAMUS, NJ
ZIP 07652-721
Phone: (201) 712-1599
Fax: (201) 712-7996

The provider's authorized official is Tatiana Shtern .
The authorized official title is Owner and has the following contact phone number (201) 712-1599.

The CLIA number assigned to this NPI record is 31D0989427 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2009 and was last updated on 1/15/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	MA 71301	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8480401	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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