NEW BRUNSWICK PEDIATRIC GROUP P.A. NPI 1689630162

NPI Information

NPI: 1689630162
Provider Name: NEW BRUNSWICK PEDIATRIC GROUP, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1300 HOW LN
NORTH BRUNSWICK, NJ
ZIP 08902
Phone: (732) 247-1510
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NEW BRUNSWICK PEDIATRIC GROUP, P.A. is a primary care clinic center in North Brunswick, NJ. NEW BRUNSWICK PEDIATRIC GROUP, P.A. NPI is 1689630162. The provider is registered as an organization entity type.

The provider's business location address is:

1300 HOW LN
NORTH BRUNSWICK, NJ
ZIP 08902-721
Phone: (732) 247-1510
Fax: (732) 247-8885

The provider's authorized official is Louis M Diemer .
The authorized official title is President and has the following contact phone number (732) 247-1510.

The enumeration date for this NPI number is 4/25/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2645009	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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