PEDIATRIC CARE PA (NPI# 1811295546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811295546 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE PA |
| Practice Address |
179 Main St Woodbridge NJ 07095-2118 |
| Practice Telephone | 7326343388 |
| Practice Fax Number | 7326349055 |
| Mailing Telephone | 7326343388 |
| Mailing Fax Number | 7326349055 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | DR. SARWAT AZHAR (PRESIDENT) |
| Authorized Official Telephone | 7326343388 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PEDIATRIC CARE PARTNERS - VERMONT, LLC | 600 Blair Road, Suite 190, Williston, VT 05495 |
| Street Address |
179 MAIN ST |
| City | WOODBRIDGE |
| State | NJ |
| Zip Code | 07095-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659770 | Anjali Gandhi | Physical Therapist | 767 St. Georges Avenue, Woodbridge, NJ 07095 | 2020-11-03 |
| 1083155808 | Kenneth Madueke | Nurse Practitioner | 404 Kings Ct, Woodbridge, NJ 07095 | 2017-03-13 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1841642048 | Rachel Marks | Optometrist | 161a Woodbridge Center Drive, Woodbridge, NJ 07095 | 2016-07-12 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1639541105 | Lisa Rasmussen | Speech-Language Pathologist | 1 St. Joseph Terrace, Woodbridge, NJ 07095 | 2015-10-23 |
| 1437584109 | Amanda Lynn Rotondo | Physical Therapist | 10 Woodbridge Center Dr., Suite 102, Woodbridge, NJ 07095 | 2013-09-12 |
| 1225460165 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 441 Woodbridge Center Drive, Woodbridge, NJ 07095 | 2013-08-02 |
| 1124368477 | Vista Rehab Services | Early Intervention Provider Agency | 185 Green Street, Woodbridge, NJ 07095 | 2013-02-25 |
| 1568748358 | Hasumati Patel | Pharmacist | 17 Green Street, Woodbridge, NJ 07095 | 2011-10-25 |
| Find all providers in zip 07095 | ||||
| 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 |
|---|---|---|---|---|
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1104228139 | Joyce Diane Moscaritola | Pediatrics | 6 Castle Court, Randolph, NJ 07869 | 2014-09-22 |
| 1326397803 | Amy Bailon | Pediatrics | 21 Woodbine Rd, Florham Park, NJ 07932-2649 | 2012-08-30 |
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1174789515 | Gerald Martin Klein | Pediatrics | 131 Spinnaker Way, Neptune, NJ 07753-5231 | 2008-08-05 |
| 1043474760 | Amj Pediatrics & Associates | Pediatrics | 18 Morris Ave, #2a, Springfield, NJ 07081-1457 | 2008-07-11 |
| 1033376041 | Deena Rachel Zimmerman | Pediatrics | 1020 Phelps Rd, Teaneck, NJ 07666-5625 | 2008-05-19 |
| 1265605919 | Susan Eleanor Skalsky Bales | Pediatrics | 31 Gladding Road, Caldwell, NJ 07006-5804 | 2008-04-02 |
| 1598944415 | Hanna Gebre Medhin | Pediatrics | 10a W Railroad Ave, Jamesburg, NJ 08831-6783 | 2007-10-26 |
| 1669664298 | Rebecca Perril | Pediatrics | 4000 Route 66, Suite 125, Tinton Falls, NJ 07753-7300 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 07095 |
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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.