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PEDIATRIC HOSPITAL ASSOCIATES P.A. NPI 1386645208


NPI Information

NPI: 1386645208
Provider Name: PEDIATRIC HOSPITAL ASSOCIATES, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 31D2178075

Address:
495 N 13TH ST
NEWARK, NJ
ZIP 07107
Phone: (973) 268-1400
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PEDIATRIC HOSPITAL ASSOCIATES, P.A. 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. PEDIATRIC HOSPITAL ASSOCIATES, P.A. NPI is 1386645208. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

495 N 13TH ST
NEWARK, NJ
ZIP 07107-317
Phone: (973) 268-1400

The provider's authorized official is Joseph John Calabro .
The authorized official title is President and has the following contact phone number (732) 212-0060.

The CLIA number assigned to this NPI record is 31D2178075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2005 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
1208000000XPediatrics=========NEW 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
17585501MEDICAIDNEW 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

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