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NORTH BERGEN PEDIATRICS NPI 1942546106


NPI Information

NPI: 1942546106
Provider Name: NORTH BERGEN PEDIATRICS
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 31D2053460

Address:
2811 KENNEDY BLVD
NORTH BERGEN, NJ
ZIP 07047
Phone: (973) 458-8000
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NORTH BERGEN PEDIATRICS is a specialist in North Bergen, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTH BERGEN PEDIATRICS NPI is 1942546106. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2811 KENNEDY BLVD
NORTH BERGEN, NJ
ZIP 07047-227
Phone: (973) 458-8000
Fax: (973) 458-8425

The provider's authorized official is Raul Almanzar .
The authorized official title is President and has the following contact phone number (973) 458-8000.

The CLIA number assigned to this NPI record is 31D2053460 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/17/2012 and was last updated on 12/17/2012.


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
1174400000XSpecialistMA06599400NEW JERSEYYes

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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