Pedi Group,Pa
LBN: Pedi Group,Pa
Pedi Group,Pa is an health care organization with primary practice located at 2695 County Road 516 Browntown Shopping Center, Old Bridge NJ 08857-2319. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Pedi Group,Pa can be contacted via phone (732) 679-6650, or through Mesina, Leon Bautista via phone (732) 679-6650.
Contact Information
Primary practice address
2695 County Road 516 Browntown Shopping Center
Old Bridge NJ 08857-2319
Phone: (732) 679-6650
Fax: (732) 679-6620
Website:
Authorized official contact:
Name: Mesina, Leon Bautista Doctor of Medicine (MD)
Phone: (732) 679-6650
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06034900 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06092500 | New Jersey |
Profile Details
| NPI number | 1790845113 |
|---|---|
| LBN Legal business name | Pedi Group,Pa |
| DBA Doing business as | |
| Authorized official | Mesina, Leon Bautista Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790845113 | NPPES |
| New Jersey | MEDICAID | 6224903 | |
| New Jersey | MEDICAID | 6186301 |
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