BAYONNE PEDIATRIC PRACTICE NPI 1427416304

NPI Information

  • NPI: 1427416304
  • Provider Name: BAYONNE PEDIATRIC PRACTICE
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 31D2110171
  • Address: 765 KENNEDY BLVD
    BAYONNE, NJ
    ZIP 07002
  • Phone: (201) 823-4141

Map and Directions

Get Directions

NPI Details

BAYONNE PEDIATRIC PRACTICE is a pediatrics in Bayonne, 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. BAYONNE PEDIATRIC PRACTICE NPI is 1427416304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

765 KENNEDY BLVD
BAYONNE, NJ
ZIP 07002
Phone: (201) 823-4141

The provider's authorized official is Shalini Nagarajan Raghu .
The authorized official title is Owner and has the following contact phone number (201) 823-4141.

The CLIA number assigned to this NPI record is 31D2110171 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 12/10/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics25MA08140300NEW JERSEYYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI