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Contact Information

JERSEY CITY PEDIATRICS
1 JOURNAL SQUARE PLZ
JERSEY CITY, NJ07306-4004
 Phone: 201-963-0090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for JERSEY CITY PEDIATRICS

NPI # 1861660219
LBN Legal business name JERSEY CITY PEDIATRICS
Authorized official BANDANA RAHA - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2008
Last updated 02/19/2008 - About 18 years ago
Identifiers
NJ License # MA41101
NJ Medicaid 5475805
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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