GLEN ROCK PEDIATRICS PC NPI 1750752135

NPI Information

  • NPI: 1750752135
  • Provider Name: GLEN ROCK PEDIATRICS, PC
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • Other Name: DORINA HALIFMAN, MD
  • CLIA Number: 31D2063113
  • Address: 385 S MAPLE AVE
    SUITE 107A
    GLEN ROCK, NJ
    ZIP 07452
  • Phone: (201) 857-3111

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NPI Details

GLEN ROCK PEDIATRICS, PC is a legal medicine in Glen Rock, NJ. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. GLEN ROCK PEDIATRICS, PC NPI is 1750752135. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dorina Halifman, Md.

The provider's business location address is:

385 S MAPLE AVE
SUITE 107A
GLEN ROCK, NJ
ZIP 07452-543
Phone: (201) 857-3111
Fax: (201) 857-3110

The provider's authorized official is Dorina Halifman .
The authorized official title is President and has the following contact phone number (201) 857-3111.

The CLIA number assigned to this NPI record is 31D2063113 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2015 and was last updated on 10/12/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal Medicine25MA09074400NEW 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
10346829MEDICAIDNEW 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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