NEW JERSEY PEDIATRIC AND ADOLESCENT CARE, LLC (NPI# 1912334434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912334434 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY PEDIATRIC AND ADOLESCENT CARE, LLC |
| Practice Address |
1680 Route 23 Suite 350 Wayne NJ 07470-7501 |
| Mailing Address |
4 Fox Hollow Rd Montville NJ 07045-9300 |
| Practice Telephone | 9735219700 |
| Mailing Telephone | 9732761140 |
| Enumeration Date | 2013-09-29 |
| Last Update Date | 2013-09-29 |
| Authorized Official Name | LYDIA M CHARLES (OWNER) |
| Authorized Official Telephone | 9732761140 |
| 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 |
25MA06235800 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1680 ROUTE 23 SUITE 350 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246832 | David Charles Sundstrom | Neurological Surgery | 1680 Route 23, Suite 250, Wayne, NJ 07470-7501 | 2005-06-21 |
| 1548735145 | Premier Bariatric New Jersey PC | Specialist | 1680 Route 23, Wayne, NJ 07470-7501 | 2018-10-10 |
| 1003299587 | Zachary Suval Spitzer | Dentist | 1680 Route 23, Suite 100, Wayne, NJ 07470 | 2015-07-02 |
| 1801188982 | Wayne Dental Associates LLC | Dentist | 1680 Route 23, Suite 100, Wayne, NJ 07470 | 2011-05-09 |
| 1396059713 | Heather Raffer | Physical Therapist | 1680 Route 23, Wayne, NJ 07470-7501 | 2010-07-27 |
| 1518198589 | Richard E Pelosi | Surgery | 1680 Route 23, Suite 250, Wayne, NJ 07470 | 2009-08-07 |
| 1285870428 | Channing Yee Chin | Surgery | 1680 Route 23, Wayne, NJ 07470 | 2008-12-17 |
| 1124293709 | Mary E Albright | Registered Nurse | 1680 Route 23, Suite 250, Wayne, NJ 07470-7501 | 2008-04-24 |
| 1124216718 | Jeffrey B. Wise, M.d., L.L.C. | Clinic/Center | 1680 Route 23, Suite 100, Wayne, NJ 07470-7501 | 2007-10-09 |
| 1215072897 | Donald A Spitzer | Dentist | 1680 Route 23, Suite 100, Wayne, NJ 07470 | 2007-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1124186853 | North Wayne Pediatrics | Clinic/Center | 508 Hamburg Tpke Ste 106, Wayne, NJ 07470-8482 | 2006-12-05 |
| 1336575158 | Diana Zabarko Od LLC | Clinic/Center | 1690 Ratzer Rd, Wayne, NJ 07470-2436 | 2013-09-25 |
| 1770649212 | Dayspring & Macaluso Md's | Clinic/Center | 516 Hamburg Tpke, Suite 5, Wayne, NJ 07470-2062 | 2006-12-29 |
| 1952315822 | Wayne Pediatric Associates | Clinic/Center | 110 W Lancaster Ave, Suite 3, Wayne, PA 19087-4043 | 2006-07-28 |
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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 |
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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.