PEDIATRIC MULTICARE (NPI# 1700028438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700028438 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC MULTICARE |
| Practice Address |
525 Wanaque Ave Pompton Lakes NJ 07442-1843 |
| Practice Telephone | 9736854411 |
| Mailing Telephone | 9736854411 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | DR. VERA BENNETT (MANAGING PARTNER) |
| Authorized Official Telephone | 9736854411 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA05857400 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6171109 | 05 |
| Street Address |
525 WANAQUE AVE |
| City | POMPTON LAKES |
| State | NJ |
| Zip Code | 07442-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356743 | Louis Meyer Lees | Dentist | 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843 | 2005-06-14 |
| 1275066425 | Acuhealth and Herbs | Acupuncturist | 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843 | 2017-04-05 |
| 1457899379 | Smile Li Dentistry LLC | Dentist | 525 Wanaque Ave, Ste 101, Pompton Lakes, NJ 07442-1843 | 2017-02-11 |
| 1164895132 | Marcy Ann L'hommedieu | Acupuncturist | 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843 | 2015-11-12 |
| 1275868762 | Brenda Marshall | Registered Nurse | 525 Wanaque Ave, Suite 203, Pompton Lakes, NJ 07442-1843 | 2009-10-16 |
| 1902928815 | Louis M Lees Dds Pa | Dentist | 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843 | 2007-04-04 |
| 1265474860 | Medical Associates of North Jersey,p.a. | Internal Medicine | 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843 | 2006-06-11 |
| 1184607863 | Timothy Brabston | Internal Medicine | 525 Wanaque Ave, Pompton Lakes, NJ 07442-1843 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236020 | Right Way Laboratory, LLC | Clinical Medical Laboratory | 750 Hamburg Turnpike, Pompton, NJ 07442 | 2020-05-13 |
| 1508377201 | Susan Omar | Nurse Practitioner | 227 Hamburg Tpke Ste 8, Pompton Lakes, NJ 07442 | 2017-10-20 |
| 1528440278 | Beltone Hearing Aid | Specialist | 124a Wanaque Ave, Beltone Hearing Aid, Pompton Lakes, NJ 07442 | 2015-06-18 |
| 1558741561 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Lenox Ave., Pompton Lakes, NJ 07442 | 2015-06-04 |
| 1821478850 | Department of Special Education of The Roman Catholic Diocese of Pater | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Mountain Avenue, Pompton Lakes, NJ 07442 | 2015-06-04 |
| 1396146650 | Joy Nwanyanwy Onugha | Pharmacist | 720 Hamburg Turnpike, Organix Pharmacy, Pompton Lakes, NJ 07442 | 2014-09-05 |
| 1033421094 | Beltone Hearing Aid Center | Hearing Aid Equipment | 124 A Wanaque Ave, Pompton Lakes, NJ 07442 | 2010-07-07 |
| 1467780734 | Sharon Emily Katz | Nurse Practitioner | 105 Hamburg Tpk., Pompton Lakes, NJ 07442 | 2009-11-25 |
| 1386889178 | Borough of Pompton Lakes | Clinic/Center | 25 Lenox Ave., Pompton Lakes, NJ 07442 | 2008-12-08 |
| 1598933905 | Yusuf Oksas | Pharmacist | 63 Wanaque Ave., Pompton Lakes, NJ 07442 | 2008-02-19 |
| Find all providers in zip 07442 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
| 1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
| 1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | POMPTON LAKES |
| Zip Code | 07442 |
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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.