Pichardo Health Group P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03887500 Issued in NJ

Legal business name

PICHARDO HEALTH GROUP P C

Practice address

80 Passaic Ave
Suite 1
Passaic, NJ 07055-4860

Phone

(973) 928-2167

Fax

(973) 928-2170

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nelson R. Pichardo, M.D.

Title

Medical Director

Phone

(973) 928-2167

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1063742765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PASSAIC AVE",
            "address_2": "SUITE 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554860",
            "telephone_number": "973-928-2167",
            "fax_number": "973-928-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PASSAIC AVE",
            "address_2": "SUITE 1",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554860",
            "telephone_number": "973-928-2167",
            "fax_number": "973-928-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICHARDO HEALTH GROUP P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-928-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03887500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066885",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Perez, BCBA, TOH
• Perinatal Associates LLC
• Karina Pesah, LCSW
• Wayne Andrew Petermann, D.C.
• Amanda Peters, LCSW
• Nelson R Pichardo, M.D.
• Nellie Buracan Pineda, M.D.
• Denise Pinon, LPC
• Platinum Path ABA LLC
• Crystabel Polanco, M.D.

• Internal Medicine Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.