Evergreen Pediatrics Solutions, Pc

LBN: Evergreen Pediatrics Solutions, Pc
Evergreen Pediatrics Solutions, Pc is an health care organization with primary practice located at 1 Bay Ave Evergreen Pediatric Solutions, Pc, Montclair NJ 07042-4837. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Evergreen Pediatrics Solutions, Pc can be contacted via phone (973) 237-5795, or through Scott, Steven R via phone (919) 425-1565.

Contact Information

Primary practice address
1 Bay Ave Evergreen Pediatric Solutions, Pc Montclair NJ 07042-4837
Phone: (973) 237-5795
Fax: (919) 425-0478
Website:
Map and Directions
Authorized official contact:
Name: Scott, Steven R Doctor of Medicine (MD)
Phone: (919) 425-1565

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1700864428
LBN Legal business name Evergreen Pediatrics Solutions, Pc
DBA Doing business as
Authorized official Scott, Steven R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated May 27th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700864428 NPPES
New Jersey MEDICAID 0079481

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