1. Home
  2. Directory
  3. New Jersey
  4. Elizabeth
  5. Pediatrics
  6. NPI Profile

ELIZABETH PEDIATRIC GROUP, LLC
NPI 1104031939
Pediatrics in Elizabeth, NJ

Active since May 14, 2007
701 NEWARK AVE, SUITE 212, ELIZABETH, NJ 07208(908) 354-9500(908) 354-9077 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Pediatric Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH PEDIATRIC GROUP, LLC (NPI 1104031939) is a healthcare organization registered as a pediatrics in Elizabeth, New Jersey and active in the NPI registry since May 2007. The organization lists Kenneth James Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1104031939
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameELIZABETH PEDIATRIC GROUP, LLC
Location Address701 NEWARK AVE, SUITE 212Elizabeth, NJ 07208-3550
Mailing Address701 Newark Ave, Suite 212Elizabeth, NJ 07208-3550 · (908) 354-9500 · Fax (908) 354-9077
Phone(908) 354-9500
Fax(908) 354-9077
Organization SubpartNo
Authorized OfficialKenneth James DavisOwner · (908) 354-9500
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104031939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA04177300
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
701 NEWARK AVE, Elizabeth, NJ 07208
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL KAHNOWITZ
Internal Medicine (Pulmonary Disease)
701 NEWARK AVE, SUITE 201
ELIZABETH, NJ 07208
Union County (908) 351-6210
DR. KENNETH JAMES DAVIS MD
Pediatrics
701 NEWARK AVE, SUITE 212
ELIZABETH, NJ 07208
Union County (908) 354-9500
FRED A PODBIELAK OPTHALMIC DISPENSER
Technician/Technologist (Optician)
701 NEWARK AVE, STE 204
ELIZABETH, NJ 07208
Union County (908) 355-2774
DR. RICHARD A INACIO DC
Chiropractor
701 NEWARK AVE, SUITE LL-10
ELIZABETH, NJ 07208
Union County (908) 355-6460
DR. REKHA SHARMA M.D.
Internal Medicine
701 NEWARK AVE, SUITE # LL4
ELIZABETH, NJ 07208
Union County (908) 282-0474
PAULA L CLINTON DTR
Dietetic Technician, Registered
701 NEWARK AVE
ELIZABETH, NJ 07208
Union County (908) 346-0269
SPINECARE CHIROPRACTIC REHAB CENTER,PA
Chiropractor
701 NEWARK AVE, SUITE LL-10
ELIZABETH, NJ 07208
Union County (908) 355-6460
REKHA SHARMA MD PA
Internal Medicine
701 NEWARK AVE, SUITE LL4
ELIZABETH, NJ 07208
Union County (908) 282-0474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Pediatric Group, LLC's NPI number?

The NPI number for Elizabeth Pediatric Group, LLC is 1104031939. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Elizabeth Pediatric Group, LLC located?

Elizabeth Pediatric Group, LLC is located at 701 Newark Ave Suite 212, Elizabeth, NJ 07208. The listed phone number is (908) 354-9500.

What is Elizabeth Pediatric Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Pediatric Group, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.