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Contact Information

SOMERSET PEDIATRIC GROUP, LLC
575 ROUTE 28 STE 2100
RARITAN, NJ08869-1363
 Phone: 908-725-1802
 Fax: 908-203-8825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SOMERSET PEDIATRIC GROUP, LLC

NPI # 1306922992
LBN Legal business name SOMERSET PEDIATRIC GROUP, LLC
Authorized official HOLLY PARLAVECCHIO - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 06/04/2021 - About 5 years ago
Identifiers
NJ Medicaid 2622807
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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