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PEDIATRIC SPECIALTIES, PA
NPI 1699888065
Neuromusculoskeletal Medicine, Sports Medicine in Hackensack, NJ

Active since August 17, 2006
90 PROSPECT AVE, HACKENSACK, NJ 07601(201) 342-4001(201) 342-9569 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Specialties, Pa NPPES

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

PEDIATRIC SPECIALTIES, PA (NPI 1699888065) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Hackensack, New Jersey and active in the NPI registry since August 2006. The organization lists Paul Joseph Harlow, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699888065
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NamePEDIATRIC SPECIALTIES, PA
Location Address90 PROSPECT AVEHackensack, NJ 07601-1909
Mailing Address90 Prospect AveHackensack, NJ 07601-1909 · (201) 342-4001 · Fax (201) 342-9569
Phone(201) 342-4001
Fax(201) 342-9569
Organization SubpartNo
Authorized OfficialPaul Joseph HarlowOffice Manager · (201) 342-4001
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1699888065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
90 PROSPECT AVE, Hackensack, NJ 07601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DUPREE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Specialist
90 PROSPECT AVE, 3B
HACKENSACK, NJ 07601
Bergen County (201) 693-0974
DR. STEVEN HARRIS MATERETSKY M.D.
Pediatrics
90 PROSPECT AVE, SUITE 1A
HACKENSACK, NJ 07601
Bergen County (201) 342-4001
PROGRESS ABA INSTITUTE
Behavior Analyst
90 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (914) 490-3891
DR. PAUL JOSEPH HARLOW M.D.
Pediatrics
90 PROSPECT AVE, SUITE 1A
HACKENSACK, NJ 07601
Bergen County (201) 342-4001
DR. STEPHEN GOMES PEREIRA MD
Surgery
90 PROSPECT AVE, SUITE 1D
HACKENSACK, NJ 07601
Bergen County (201) 343-3433
PROGRESSIVE PEDIATRIC ENDOCRINE
Pediatrics (Pediatric Endocrinology)
90 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 342-6538
DR. JONATHAN WAYNE WONG
Pediatrics
90 PROSPECT AVE, SUITE 1A
HACKENSACK, NJ 07601
Bergen County (201) 342-4001
DR. ADAM SETH ROSENSTOCK M.D.
Surgery
90 PROSPECT AVE, 1D
HACKENSACK, NJ 07601
Bergen County (201) 343-3433

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 Specialties, PA's NPI number?

The NPI number for Pediatric Specialties, PA is 1699888065. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Pediatric Specialties, PA located?

Pediatric Specialties, PA is located at 90 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 342-4001.

What is Pediatric Specialties, PA's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Pediatric Specialties, PA 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.