Park Avenue Pediatrics Associates

LBN: M. Calhoun Thomas Md
Park Avenue Pediatrics Associates is an health care organization with primary practice located at 485 Park Avenue , Orange NJ 07050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. M. Calhoun Thomas Md can be contacted via phone (973) 672-2770, or through Thomas, Montrae Calhoun via phone (973) 672-2770.

Contact Information

Primary practice address
485 Park Avenue Orange NJ 07050
Phone: (973) 672-2770
Fax: (973) 672-7009
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Montrae Calhoun Doctor of Medicine (MD)
Phone: (973) 672-2770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA035250 New Jersey

Profile Details

NPI number 1992929376
LBN Legal business name M. Calhoun Thomas Md
DBA Doing business as Park Avenue Pediatrics Associates
Authorized official Thomas, Montrae Calhoun Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 31st, 2008 - about 18 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 1992929376 NPPES
New Jersey MEDICAID 3608409

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