WASHINGTON ST PEDIATRICS LLC NPI 1194317107

NPI Information

  • NPI: 1194317107
  • Provider Name: WASHINGTON ST PEDIATRICS LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 200 WASHINGTON ST
    NEWARK, NJ
    ZIP 07102
  • Phone: (973) 622-3890

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NPI Details

WASHINGTON ST PEDIATRICS LLC 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 ST PEDIATRICS LLC NPI is 1194317107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 WASHINGTON ST
NEWARK, NJ
ZIP 07102-921
Phone: (973) 622-3890
Fax: (973) 622-6443

The provider's authorized official is Michael Skolnick .
The authorized official title is Owner and has the following contact phone number (973) 715-5963.

The enumeration date for this NPI number is 2/10/2021 and was last updated on 1/14/2022.

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
12080A0000XPediatricsAdolescent MedicineNo
2208000000XPediatricsYes

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: 3/30/2025

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