Foundation Pediatrics

LBN: Foundation Pediatrics
Foundation Pediatrics is an health care organization with primary practice located at 190 S Harrison St , East Orange NJ 07018-1502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Foundation Pediatrics can be contacted via phone (973) 674-8373, or through Dosunmu, Ronke via phone (973) 674-8373.

Contact Information

Primary practice address
190 S Harrison St East Orange NJ 07018-1502
Phone: (973) 674-8373
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dosunmu, Ronke Doctor of Medicine (MD)
Phone: (973) 674-8373

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1356387286
LBN Legal business name Foundation Pediatrics
DBA Doing business as
Authorized official Dosunmu, Ronke Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Nov 12th, 2019 - about 7 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 1356387286 NPPES
New Jersey MEDICAID 6011004

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