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PEDI GROUP,PA
NPI 1790845113
Pediatrics in Old Bridge, NJ

Active since December 08, 2006
2695 COUNTY ROAD 516, BROWNTOWN SHOPPING CENTER, OLD BRIDGE, NJ 08857(732) 679-6650(732) 679-6620 Get Directions Write a Review

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

About Pedi Group,pa NPPES

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

PEDI GROUP,PA (NPI 1790845113) is a healthcare organization registered as a pediatrics in Old Bridge, New Jersey and active in the NPI registry since December 2006. The organization lists Leon Bautista Mesina, Vp, as its authorized official.

NPPES Registry Identity

NPI1790845113
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDI GROUP,PA
Location Address2695 COUNTY ROAD 516, BROWNTOWN SHOPPING CENTEROld Bridge, NJ 08857-2319
Mailing Address2695 County Road 516, Browntown Shopping CenterOld Bridge, NJ 08857-2319 · (732) 679-6650 · Fax (732) 679-6620
Phone(732) 679-6650
Fax(732) 679-6620
Organization SubpartNo
Authorized OfficialLeon Bautista MesinaVp · (732) 679-6650
Enumeration DateDecember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790845113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA06092500✔ Licensed in NJ · 25MA06034900
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.
2695 COUNTY ROAD 516, Old Bridge, NJ 08857
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Other Identifiers 2

Medicaid6224903NJ
Medicaid6186301NJ

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Pedi Group,pa's NPI number?

The NPI number for Pedi Group,pa is 1790845113. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Pedi Group,pa located?

Pedi Group,pa is located at 2695 County Road 516 Browntown Shopping Center, Old Bridge, NJ 08857. The listed phone number is (732) 679-6650.

What is Pedi Group,pa'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 Pedi Group,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.