PEDI PRACTICES
NPI 1811232762
Clinic/Center - Primary Care in Jersey City, NJ

Active since December 04, 2012
127 PALISADE AVE, JERSEY CITY, NJ 07306(201) 217-1000(201) 217-3118 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pedi Practices NPPES

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

PEDI PRACTICES (NPI 1811232762), doing business as Pediatric Practice, is a healthcare organization registered as a primary care in Jersey City, New Jersey and active in the NPI registry since December 2012. The organization maintains a secondary practice location in Jersey City and lists Tayyaba K Malik, Ceo/ Soler Owner, as its authorized official.

NPPES Registry Identity

NPI1811232762
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDI PRACTICES
Location Address127 PALISADE AVEJersey City, NJ 07306-1101
Mailing Address127 Palisade AveJersey City, NJ 07306-1101 · (201) 217-1000 · Fax (201) 217-3118
Fax(201) 217-3118
Organization SubpartNo
Authorized OfficialTayyaba K MalikCeo/ Soler Owner · (201) 217-1000
Enumeration DateDecember 4, 2012
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
NPI 1811232762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in NJ · MA060432
127 PALISADE AVE, Jersey City, NJ 07306

Other Names 1

Former Legal Business NamePediatric Practice

Secondary Practice Location 1

Location 12749 John F Kennedy BlvdJersey City, NJ 07306-5540 · Phone (201) 432-0714

Other Identifiers 6

Other491427NJ · Aetna
Other001NJ · Prudential
Other551491NJ · Empire Blue Cross Blue Shield
Medicaid2K3441NJ
Other2697096NJ · Ghi
MedicaidHUL00007402NJ

Other Providers at the Same Location NPPES 2

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

Pediatrics
127 PALISADE AVE
JERSEY CITY, NJ 07306
Pediatrics
127 PALISADE AVE
JERSEY CITY, NJ 07306

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 Practices's NPI number?

The NPI number for Pedi Practices is 1811232762. It was assigned to this organization in the NPPES registry on December 4, 2012. The provider was formerly known as Pediatric Practice.

Where is Pedi Practices located?

Pedi Practices is located at 127 Palisade Ave, Jersey City, NJ 07306. The listed phone number is (201) 217-1000.

What is Pedi Practices's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Pedi Practices was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.