PASSAIC PEDIATRICS II PA NPI 1306240270

NPI Information

  • NPI: 1306240270
  • Provider Name: PASSAIC PEDIATRICS II PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 31D2066248
  • Address: 93 MARKET STREET
    PASSAIC, NJ
    ZIP 07055
  • Phone: (862) 238-8333

Map and Directions

Get Directions

NPI Details

PASSAIC PEDIATRICS II PA is a specialist in Passaic, 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. PASSAIC PEDIATRICS II PA NPI is 1306240270. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

93 MARKET STREET
PASSAIC, NJ
ZIP 07055
Phone: (862) 238-8333
Fax: (862) 238-8338

The provider's authorized official is Raul Almanzar .
The authorized official title is Md/president and has the following contact phone number (973) 458-8000.

The CLIA number assigned to this NPI record is 31D2066248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 10/21/2014.

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
1174400000XSpecialist25MA65994NEW 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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI