Pediatric Practice

LBN: Pediatric Practice
Pediatric Practice is an health care organization with primary practice located at 127 Palisade Ave , Jersey City NJ 07306-1101. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Practice can be contacted via phone (201) 217-1000, or through Malik, Tayyaba K via phone (201) 217-1000.

Contact Information

Primary practice address
127 Palisade Ave Jersey City NJ 07306-1101
Phone: (201) 217-1000
Fax: (201) 217-3118
Website:
Map and Directions
Authorized official contact:
Name: Malik, Tayyaba K Doctor of Medicine (MD)
Phone: (201) 217-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA60432 New Jersey

Profile Details

NPI number 1538221171
LBN Legal business name Pediatric Practice
DBA Doing business as
Authorized official Malik, Tayyaba K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 20th, 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 1538221171 NPPES
Other 001 PRUDENTIAL
MEDICAID HUL00007402 PRUDENTIAL
Other 1444591 PRUDENTIAL
Other 491427 PRUDENTIAL
Other 551491 PRUDENTIAL
MEDICAID 6186106 PRUDENTIAL
MEDICAID 13407 PRUDENTIAL
MEDICAID 22943 PRUDENTIAL
MEDICAID 1010550 PRUDENTIAL
Other 2697096 PRUDENTIAL
MEDICAID 2K3441 PRUDENTIAL
Other P2042267 PRUDENTIAL

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