HEALTH STAR PEDIATRICS LLC NPI 1013320530

NPI Information

NPI: 1013320530
Provider Name: HEALTH STAR PEDIATRICS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
685 MOUNT PROSPECT AVE
NEWARK, NJ
ZIP 07104
Phone: (973) 747-6579
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HEALTH STAR PEDIATRICS LLC is a primary care clinic center in Newark, NJ. HEALTH STAR PEDIATRICS LLC NPI is 1013320530. The provider is registered as an organization entity type.

The provider's business location address is:

685 MOUNT PROSPECT AVE
NEWARK, NJ
ZIP 07104-151
Phone: (973) 747-6579
Fax: (201) 825-2908

The provider's authorized official is Mark J. Wade .
The authorized official title is President and has the following contact phone number (201) 726-2375.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 6/3/2014.

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			Yes

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

NPI Synchronization or Removal

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