Provider Type Icon

WASHINGTON PARK PEDIATRICS NPI 1447311493


NPI Information

NPI: 1447311493
Provider Name: WASHINGTON PARK PEDIATRICS

Doing Business As: KIDSCARE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D2252964

Address:
495 N 13TH ST
NEWARK, NJ
ZIP 07107
Phone: (973) 268-5862
Get Directions

WASHINGTON PARK PEDIATRICS is a pediatrics in Newark, 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. WASHINGTON PARK PEDIATRICS NPI is 1447311493. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kidscare.

The provider's business location address is:

495 N 13TH ST
NEWARK, NJ
ZIP 07107-317
Phone: (973) 268-5862
Fax: (973) 622-3890

The provider's authorized official is Marc Roberts .
The authorized official title is President and has the following contact phone number (973) 622-3890.

The CLIA number assigned to this NPI record is 31D2252964 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.


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
1208000000XPediatrics25MA03289200NEW 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
16618707MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.