PEDIATRIC SPECIALTIES, PA (NPI# 1699888065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699888065 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SPECIALTIES, PA |
| Practice Address |
90 Prospect Ave Hackensack NJ 07601-1909 |
| Practice Telephone | 2013424001 |
| Practice Fax Number | 2013429569 |
| Mailing Telephone | 2013424001 |
| Mailing Fax Number | 2013429569 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL JOSEPH HARLOW (OFFICE MANAGER) |
| Authorized Official Telephone | 2013424001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
90 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497723019 | Steven Harris Materetsky | Pediatrics | 90 Prospect Ave, Suite 1a, Hackensack, NJ 07601-1909 | 2006-03-09 |
| 1861011587 | Emily Marchick | Student in an Organized Health Care Education/Training Program | 90 Prospect Ave, Hackensack, NJ 07601-1909 | 2020-04-13 |
| 1669840096 | Progressive Pediatric Endocrine | Pediatrics | 90 Prospect Ave, Hackensack, NJ 07601-1909 | 2015-09-02 |
| 1093125700 | Dupree Physical Therapy and Sports Medicine, LLC | Specialist | 90 Prospect Ave, 3b, Hackensack, NJ 07601-1909 | 2014-05-02 |
| 1720306400 | George A Mazpule | Surgery | 90 Prospect Ave, Ste 1d, Hackensack, NJ 07601-1909 | 2010-05-05 |
| 1962659912 | Adam Seth Rosenstock | Surgery | 90 Prospect Ave, 1d, Hackensack, NJ 07601-1909 | 2008-08-21 |
| 1669432159 | Stephen Gomes Pereira | Surgery | 90 Prospect Ave, Suite 1d, Hackensack, NJ 07601-1909 | 2006-03-27 |
| 1659349272 | Paul Joseph Harlow | Pediatrics | 90 Prospect Ave, Suite 1a, Hackensack, NJ 07601-1909 | 2006-03-09 |
| 1881662401 | Jonathan Wayne Wong | Pediatrics | 90 Prospect Ave, Suite 1a, Hackensack, NJ 07601-1909 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819719 | Diamond Medical Nj | Neuromusculoskeletal Medicine, Sports Medicine | 35 Journal Sq Ste 915, Jersey City, NJ 07306-4007 | 2020-07-28 |
| 1891257093 | Morristown Intraoperative Monitoring, P.a. | Neuromusculoskeletal Medicine, Sports Medicine | 310 Madison Ave Ste 300, Morristown, NJ 07960-6967 | 2019-04-05 |
| 1033696703 | Ld Recovery Solutions, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 521 Fellowship Rd Ste 155, Mount Laurel, NJ 08054-3442 | 2018-07-25 |
| 1295246510 | Faith Essence Smash | Neuromusculoskeletal Medicine, Sports Medicine | 169 Paris Ave, Northvale, NJ 07647-2028 | 2017-10-12 |
| 1801927041 | Jersey City Center for Othopaedic Injuries LLC | Neuromusculoskeletal Medicine, Sports Medicine | 35 Journal Sq, Jersey City, NJ 07306-4011 | 2007-03-08 |
| 1336248293 | Steven L. Nehmer | Neuromusculoskeletal Medicine, Sports Medicine | 2121 Morris Ave, Union, NJ 07083-6002 | 2006-09-21 |
| 1043233588 | Jimmy Kim | Neuromusculoskeletal Medicine, Sports Medicine | 300 Winston Dr Apt 217, Cliffside Park, NJ 07010-3210 | 2006-07-25 |
| 1841210614 | Thomas Wagner Findley Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 3 Royal Ave, Suite 4, Livingston, NJ 07039 | 2006-07-21 |
| 1427099985 | Monica Mehta | Neuromusculoskeletal Medicine, Sports Medicine | 191 Palisade Ave, Jersey City, NJ 07306-1133 | 2006-06-08 |
| 1710931498 | Sukhjender S Goraya | Neuromusculoskeletal Medicine, Sports Medicine | 606 Roosevelt Ave, Carteret, NJ 07008-2935 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on PEDIATRIC SPECIALTIES, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.