Ironbound Pediatrics Pc

LBN: Ironbound Pediatrics Pc
Ironbound Pediatrics Pc is an health care organization with primary practice located at 155 Jefferson St Ll Ste 3, Newark NJ 07105-1706. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Ironbound Pediatrics Pc can be contacted via phone (973) 466-0300, or through Vicente, Normita Beltran via phone (973) 466-0300.

Contact Information

Primary practice address
155 Jefferson St Ll Ste 3 Newark NJ 07105-1706
Phone: (973) 466-0300
Fax: (973) 466-1777
Website:
Map and Directions
Authorized official contact:
Name: Vicente, Normita Beltran Registered Nurse (RN)
Phone: (973) 466-0300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1508971292
LBN Legal business name Ironbound Pediatrics Pc
DBA Doing business as
Authorized official Vicente, Normita Beltran Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 5th, 2012 - about 14 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 1508971292 NPPES
New Jersey Other 50441 AETNA
New Jersey MEDICAID 0050432 AETNA
New Jersey Other 2353177001 AETNA

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