WESTFIELD PEDIATRIC GROUP NPI 1730238700

NPI Information

  • NPI: 1730238700
  • Provider Name: WESTFIELD PEDIATRIC GROUP
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 532 E BROAD ST
    WESTFIELD, NJ
    ZIP 07090
  • Phone: (908) 232-8077

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NPI Details

WESTFIELD PEDIATRIC GROUP is a preferred provider organization in Westfield, NJ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. WESTFIELD PEDIATRIC GROUP NPI is 1730238700. The provider is registered as an organization entity type.

The provider's business location address is:

532 E BROAD ST
WESTFIELD, NJ
ZIP 07090-116
Phone: (908) 232-8077
Fax: (908) 232-8447

The provider's authorized official is Maryanne Boissonneault .
The authorized official title is Billing Manager and has the following contact phone number (908) 232-8077.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/21/2022.

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
1305R00000XPreferred Provider OrganizationNEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12722402MEDICAIDNEW 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: 11/21/2025

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