Provider Type Icon

RUTHERFORD PEDIATRICS&PEDIATRIC PULMONOLOGY P.C. NPI 1508938291


NPI Information

NPI: 1508938291
Provider Name: RUTHERFORD PEDIATRICS&PEDIATRIC PULMONOLOGY P.C.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 31D2272691

Address:
338 UNION AVE
RUTHERFORD, NJ
ZIP 07070
Phone: (201) 842-0501
Get Directions

RUTHERFORD PEDIATRICS&PEDIATRIC PULMONOLOGY P.C. is an adolescent medicine pediatrics in Rutherford, NJ. The provider is 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. RUTHERFORD PEDIATRICS&PEDIATRIC PULMONOLOGY P.C. NPI is 1508938291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

338 UNION AVE
RUTHERFORD, NJ
ZIP 07070-563
Phone: (201) 842-0501
Fax: (201) 842-9190

The provider's authorized official is Grace E. Becz .
The authorized official title is Ceo and has the following contact phone number (201) 842-0501.

The CLIA number assigned to this NPI record is 31D2272691 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 6/26/2008.


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
12080A0000XPediatricsAdolescent Medicine25MA06127000NEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.