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WESTSIDE PEDIATRICSP.A. NPI 1881756922


NPI Information

NPI: 1881756922
Provider Name: WESTSIDE PEDIATRICS,P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2749 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 432-0714
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WESTSIDE PEDIATRICS,P.A. is a pediatrics in Jersey City, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WESTSIDE PEDIATRICS,P.A. NPI is 1881756922. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2749 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
ZIP 07306-540
Phone: (201) 432-0714

The provider's authorized official is Leon Bautista Mesina .
The authorized official title is Secretary and has the following contact phone number (201) 432-0714.

The enumeration date for this NPI number is 12/14/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics25MA060925NEW 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
16186106MEDICAIDNEW JERSEY
26224903MEDICAIDNEW JERSEY
36186301MEDICAIDNEW 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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