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PROGRESSIVE PEDIATRIC ENDOCRINE NPI 1669840096


NPI Information

NPI: 1669840096
Provider Name: PROGRESSIVE PEDIATRIC ENDOCRINE
Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
90 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-6538
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PROGRESSIVE PEDIATRIC ENDOCRINE is a pediatric endocrinology pediatrics in Hackensack, NJ. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PROGRESSIVE PEDIATRIC ENDOCRINE NPI is 1669840096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

90 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601-909
Phone: (201) 342-6538
Fax: (201) 342-9569

The provider's authorized official is Daniel B Levine .
The authorized official title is Pediatric Endocrinologist and has the following contact phone number (201) 942-6538.

The enumeration date for this NPI number is 9/2/2015 and was last updated on 9/2/2015.


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
12080P0205XPediatricsPediatric EndocrinologyMA06077500NEW 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
1B54348MEDICARE UPINNEW 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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