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COMPREHENSIVE PEDIATRICS PC NPI 1700325610


NPI Information

NPI: 1700325610
Provider Name: COMPREHENSIVE PEDIATRICS, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D1053700

Address:
2 LINCOLN HWY STE 500
EDISON, NJ
ZIP 08820
Phone: (732) 516-9868
Get Directions

COMPREHENSIVE PEDIATRICS, PC is a family medicine in Edison, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMPREHENSIVE PEDIATRICS, PC NPI is 1700325610. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 LINCOLN HWY STE 500
EDISON, NJ
ZIP 08820-904
Phone: (732) 516-9868
Fax: (732) 516-9869

The provider's authorized official is Aijuan Wang .
The authorized official title is Physician and has the following contact phone number (731) 221-6870.

The CLIA number assigned to this NPI record is 31D1053700 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 10/27/2021.


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
1208000000XPediatrics25MA07492900NEW JERSEYNo
2207Q00000XFamily MedicineYes

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
10035092MEDICAIDNEW 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: 11/14/2023

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.