PEDIARIC CENTER 2000 INC (NPI# 1215179312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215179312 |
| Entity Type | Organization |
| Organization Name | PEDIARIC CENTER 2000 INC |
| Practice Address |
571 N 6th St Newark NJ 07107-2501 |
| Mailing Address |
1079 Pleasant Valley Way West Orange NJ 07052-1418 |
| Practice Telephone | 9734855401 |
| Practice Fax Number | 9734851536 |
| Mailing Telephone | 9734855401 |
| Mailing Fax Number | 9734851536 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | JESUS RUBEN ORTEGA (PRESIDENT) |
| Authorized Official Telephone | 9734845401 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
25MA06060600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6164102 | 05 |
| Street Address |
571 N 6TH ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235204637 | Lucia Arias | Dentist | 571 N 6th St, Newark, NJ 07107-2501 | 2006-11-21 |
| 1710030762 | Family Dentistry 2000 LLC | Dentist | 571 N 6th St, 1 Floor, Newark, NJ 07107-2501 | 2007-01-20 |
| 1386706083 | Jesus Ruben Ortega | Registered Nurse | 571 N 6th St, Newark, NJ 07107-2501 | 2006-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1942386966 | Feminia Castro Mac | Pediatrics | 18 Ferry St, Newark, NJ 07105-1436 | 2006-10-31 |
| 1164447587 | Loreta Montolo Uy | Pediatrics | 66 Somme St, Newark, NJ 07105-3612 | 2006-07-13 |
| 1275505844 | Ricardo Jp Ferraz | Pediatrics | 374 Chestnut St Ste A, Newark, NJ 07105-2495 | 2006-02-07 |
| 1417958463 | Ernest Frederick Joseph Siebold | Pediatrics | 282 The Green, University of Delaware, Student Health Service, Newark, DE 19716-8101 | 2005-08-02 |
| 1740529577 | Fataneh M Ziari, Md, Pa | Pediatrics | 2600 Glasgow Ave, Suite 212, Newark, DE 19702-4773 | 2013-02-14 |
| 1306979323 | Jocelyne Louis-jacques | Pediatrics | 742 Clinton Ave, Newark, NJ 07108-1202 | 2007-03-13 |
| 1801967740 | Paulette Denise Stanford | Pediatrics | 90 Bergen St, Doc 4300, Newark, NJ 07103-2425 | 2006-11-13 |
| 1275543365 | Wendy Neal | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-08-09 |
| 1063434447 | Pauline A Walks-akintobi | Pediatrics | 741 Broadway, Newark, NJ 07104-4309 | 2006-07-24 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.