PROSPECT PEDIATRICS PA NPI 1023431871

NPI Information

  • NPI: 1023431871
  • Provider Name: PROSPECT PEDIATRICS PA
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 31D1103467
  • Address: 163 BELLEVILLE AVE
    BELLEVILLE, NJ
    ZIP 07109
  • Phone: (973) 302-4644

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NPI Details

PROSPECT PEDIATRICS PA is a pediatrics in Belleville, 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. PROSPECT PEDIATRICS PA NPI is 1023431871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

163 BELLEVILLE AVE
BELLEVILLE, NJ
ZIP 07109-437
Phone: (973) 302-4644
Fax: (973) 528-2242

The provider's authorized official is Fidelis Okoh .
The authorized official title is Executive Director Operations and has the following contact phone number (973) 356-1696.

The CLIA number assigned to this NPI record is 31D1103467 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2014 and was last updated on 12/11/2014.

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
1208000000XPediatricsYes

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: 11/21/2025

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