Organization Active NPI

Hamburg Pediatric Center LLC

  • Pediatrics Physician
  • Hamburg, NJ
National Provider Identifier
1013928126
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA073413 Issued in NJ
Legal business name
HAMBURG PEDIATRIC CENTER LLC
Practice address
2 Vernon Ave
Hamburg, NJ 07419-1153
Phone
(973) 827-1918
Fax
(800) 661-4832
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Francis Markel, M.D.
Title
President
Phone
(973) 827-1918

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X MA073413 NJ Primary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2080A0000X

Addresses

Primary practice location

2 Vernon Ave
Hamburg, NJ 07419-1153

Mailing address

2 Vernon Ave
Hamburg, NJ 07419-1195
Phone (973) 827-1918

National Provider Directory

National Provider Directory

Locations

2 Vernon Ave
Hamburg, NJ 07419
Phone (973) 827-9195

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1013928126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VERNON AVE",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191195",
            "telephone_number": "973-827-1918",
            "fax_number": "800-661-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VERNON AVE",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191153",
            "telephone_number": "973-827-1918",
            "fax_number": "800-661-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBURG PEDIATRIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "MARKEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-827-1918",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA073413",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.