ELIZABETH PEDIATRIC GROUP, LLC - NPI 1104031939

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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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

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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