1. Home
  2. Directory
  3. New Jersey
  4. Maplewood
  5. Surgery
  6. NPI Profile

PEDIATRIC SURGERY GROUP, LLC
NPI 1679580781
Surgery - Pediatric Surgery in Maplewood, NJ

Active since August 02, 2006
2130 MILLBURN AVE, MAPLEWOOD, NJ 07040(973) 313-3115(973) 313-3188 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Surgery Group, Llc NPPES

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

PEDIATRIC SURGERY GROUP, LLC (NPI 1679580781) is a healthcare organization registered as a pediatric surgery in Maplewood, New Jersey and active in the NPI registry since August 2006. The organization lists Colin Bethel, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1679580781
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePEDIATRIC SURGERY GROUP, LLC
Location Address2130 MILLBURN AVEMaplewood, NJ 07040-3725
Mailing Address25b Vreeland Rd, Suite 110Florham Park, NJ 07932-1900 · (973) 660-9334 · Fax (973) 660-9732
Phone(973) 313-3115
Fax(973) 313-3188
Organization SubpartNo
Authorized OfficialColin BethelManaging Member · (973) 660-9334
Enumeration DateAugust 2, 2006
Last NPPES UpdateDecember 21, 2010
✔ NPI 1679580781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
2130 MILLBURN AVE, Maplewood, NJ 07040
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 20

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

MR. MOSES MYERS JR. MS, LCADC,SAP
Counselor (Addiction (Substance Use Disorder))
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (908) 875-5123
AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Counselor (Mental Health)
2130 MILLBURN AVE, STE C8
MAPLEWOOD, NJ 07040
Essex County (908) 364-7611
MS. NATASHA NICKOLE MANNING PH.D., LPC
Counselor (Professional)
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (973) 536-7486
CLARA ALLISON
Massage Therapist
2130 MILLBURN AVE, SUITE C8 FLR C
MAPLEWOOD, NJ 07040
Essex County (973) 259-6966
DR. SEGUN V SIMON MD
Internal Medicine (Nephrology)
2130 MILLBURN AVE, SUITE C-3
MAPLEWOOD, NJ 07040
Essex County (973) 996-2727
JEFFREY TUCKER LCSW
Social Worker (Clinical)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (646) 382-7410
DR. WILLIAM EDGAR CARR LCSW
Social Worker (Clinical)
2130 MILLBURN AVE, D1
MAPLEWOOD, NJ 07040
Essex County (973) 592-1512
DR. SYLVIA S LEE M D
Allergy & Immunology (Allergy)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 763-5787

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 Pediatric Surgery Group, LLC's NPI number?

The NPI number for Pediatric Surgery Group, LLC is 1679580781. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Pediatric Surgery Group, LLC located?

Pediatric Surgery Group, LLC is located at 2130 Millburn Ave, Maplewood, NJ 07040. The listed phone number is (973) 313-3115.

What is Pediatric Surgery Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Pediatric Surgery Group, LLC was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.