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NORTHERN VALLEY PEDIATRICS LLC NPI 1588816532


NPI Information

NPI: 1588816532
Provider Name: NORTHERN VALLEY PEDIATRICS, LLC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 31D2268927

Address:
463 LIVINGSTON ST
UNIT 204
NORWOOD, NJ
ZIP 07648
Phone: (201) 564-7377
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NORTHERN VALLEY PEDIATRICS, LLC is an adolescent medicine pediatrics in Norwood, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NORTHERN VALLEY PEDIATRICS, LLC NPI is 1588816532. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

463 LIVINGSTON ST
UNIT 204
NORWOOD, NJ
ZIP 07648-344
Phone: (201) 564-7377
Fax: (201) 564-7379

The provider's authorized official is Shilpa Ashok Patel .
The authorized official title is Pediatrician and has the following contact phone number (201) 564-7377.

The CLIA number assigned to this NPI record is 31D2268927 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 10/21/2008.


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 MedicineYes

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: 5/5/2024

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