Passaic Pediatrics Pa

LBN: Passaic Pediatrics Pa
Passaic Pediatrics Pa is an health care organization with primary practice located at 298 Passaic Street , Passaic NJ 07055. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Passaic Pediatrics Pa can be contacted via phone (973) 249-8100, or through Camilo, Antonio via phone (973) 249-8100.

Contact Information

Primary practice address
298 Passaic Street Passaic NJ 07055
Phone: (973) 249-8100
Fax: (973) 249-8110
Website:
Map and Directions
Authorized official contact:
Name: Camilo, Antonio Doctor of Medicine (MD)
Phone: (973) 249-8100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06599400 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1942384888
LBN Legal business name Passaic Pediatrics Pa
DBA Doing business as
Authorized official Camilo, Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 9th, 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 1942384888 NPPES
New Jersey MEDICAID 0044245
New Jersey MEDICAID 8407304
New Jersey MEDICAID 8220701
New Jersey MEDICAID 0117056
New Jersey MEDICAID 8407509
New Jersey MEDICAID 0044253

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