Progressive Pediatrics

LBN: Progressive Pediatrics
Progressive Pediatrics is an health care organization with primary practice located at 3196 Kennedy Blvd 3Rd Floor, Union City NJ 07087-2436. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Progressive Pediatrics can be contacted via phone (201) 319-9800, or through Polack, Noha via phone (201) 319-9800.

Contact Information

Primary practice address
3196 Kennedy Blvd 3Rd Floor Union City NJ 07087-2436
Phone: (201) 319-9800
Fax: (201) 319-9849
Website:
Map and Directions
Authorized official contact:
Name: Polack, Noha Doctor of Medicine (MD)
Phone: (201) 319-9800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA63880 New Jersey

Profile Details

NPI number 1750441333
LBN Legal business name Progressive Pediatrics
DBA Doing business as
Authorized official Polack, Noha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 17th, 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 1750441333 NPPES
New Jersey MEDICAID 0252573

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