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PEDIATRIC EYECARE OF NORTHERN JERSEY P.C. NPI 1275818197


NPI Information

NPI: 1275818197
Provider Name: PEDIATRIC EYECARE OF NORTHERN JERSEY, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
401A S VAN BRUNT ST
STE. 200
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 541-6806
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PEDIATRIC EYECARE OF NORTHERN JERSEY, P.C. is a specialist in Englewood, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC EYECARE OF NORTHERN JERSEY, P.C. NPI is 1275818197. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401A S VAN BRUNT ST
STE. 200
ENGLEWOOD, NJ
ZIP 07631-600
Phone: (201) 541-6806
Fax: (201) 541-6807

The provider's authorized official is Sunny Song .
The authorized official title is Office Manager and has the following contact phone number (201) 541-6806.

The enumeration date for this NPI number is 10/12/2011 and was last updated on 11/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA08681500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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